510(k) Report

510(k) · Cleared

Cleared

Compression Anastomosis Clip (Cac)

K033324510(k) TraditionalCleared May 10, 2004208-day reviewClass II21 CFR 878.4300

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

Niti Medical Technologies, Ltd. · FZP Clip, Implantable

Cleared on May 10, 2004 as substantially equivalent to K931056 (American Cyanamid Co., 1993) and 2 other predicates after a 208-day review. Its family tree reaches back 8 generations to 1993. 7 later devices descend from it.

Decided
May 10, 2004
Review
208 days
Class
Class II
Product code
FZP
Recalls
None
Predicates
3

Its longest line of descent runs back 8 generations to K933887 (1993). 32 ancestors in all, the oldest K771412 (1977). 7 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor1993: 1 other ancestor2000: 2 other ancestors1998: 2 other ancestors1997: 3 other ancestors1996: 2 other ancestors1994: 3 other ancestors1991: 1 other ancestor1989: 1 other ancestor1984: 1 other ancestor1982: 1 other ancestor2001: 1 other ancestor1995: 3 other ancestors1992: 1 other ancestor1977: 1 other ancestor2005: 1 descendant cleared2004: 2 descendants cleared2025: 1 descendant cleared2006: 1 descendant cleared2011: 1 descendant cleared2026: 1 descendant clearedK933887 · Implantable Clip · United States Surgical, A Division of Tyco Healthc · 1993K962043 · Auto Suture Modified VCS Clip Applier · United States Surgical, A Division of Tyco Healthc · 1996 · recalledK994160 · Coalescent Surgical Sutured-Clip · Coalescent Surgical · 2000×5: 5 generations cleared close together, K012317 (2001), K013664 (2002), K021407 (2002), K023125 (2002), K024366 (2003) 19801990200020102020
  1. Root · 8 generations backK933887 Implantable ClipUnited States Surgical, A Division of Tyco Healthc · 1993
  2. 7 generations backK962043 Auto Suture Modified VCS Clip ApplierUnited States Surgical, A Division of Tyco Healthc · 1996 · Recalled
  3. 6 generations backK994160 Coalescent Surgical Sutured-ClipCoalescent Surgical · 2000
  4. 5 generations backK012317 Coalescent Surgical U-ClipCoalescent Surgical · 2001
  5. 4 generations backK013664 Coalescent Surgical U-ClipCoalescent Surgical · 2002
  6. 3 generations backK021407 Coalescent Surgical U-Clip - or Other TBD and AccessoriesCoalescent Surgical · 2002
  7. 2 generations backK023125 Coalescent U-Clip- and AccessoriesCoalescent Surgical · 2002
  8. 1 generation backK024366 Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical · 2003 · Recalled
  9. This deviceK033324 Compression Anastomosis Clip (Cac)Niti Medical Technologies, Ltd. · 2004
  10. Descendant · cites it directly · 6 of its ownK041751 Compression Anastomosis Clip (Cac)Niti Medical Technologies, Ltd. · 2004
  11. Descendant · cites it directly · 5 of its ownK043115 Laparoscopic Compression Anastomosis Clip (Lapcac)Niti Medical Technologies, Ltd. · 2004
  12. Descendant · cites it directly · 2 of its ownK050356 Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd. · 2005
  13. Descendant · 2 generations on · 1 of its ownK250541 Self-Forming Magnet (Flexagon Plus OTOLoc)GI Windows, Inc. · 2025
  14. Descendant · 2 generations on · 1 of its ownK062008 Endo Car Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd. · 2006

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2004: 22005: 12006: 12011: 12025: 12026: 1
2004high 2 (2004) · low 0 (2007)2026

Most influential descendants

Showing 5 of 7 · See all
  • K041751Compression Anastomosis Clip (Cac)Niti Medical Technologies, Ltd. · 2004 · cites it directly6descendants
  • K043115Laparoscopic Compression Anastomosis Clip (Lapcac)Niti Medical Technologies, Ltd. · 2004 · cites it directly5descendants
  • K050356Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd. · 2005 · cites it directly2descendants
  • K250541Self-Forming Magnet (Flexagon Plus OTOLoc)GI Windows, Inc. · 2025 · 2 generations on1descendant
  • K062008Endo Car Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd. · 2006 · 2 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K933887Implantable ClipUnited States Surgical, A Division of Tyco Healthc1993—
−7K962043Auto Suture Modified VCS Clip ApplierUnited States Surgical, A Division of Tyco Healthc19967
−6K994160Coalescent Surgical Sutured-ClipCoalescent Surgical2000—
−5K012317Coalescent Surgical U-ClipCoalescent Surgical2001—
−4K013664Coalescent Surgical U-ClipCoalescent Surgical2002—
−3K021407Coalescent Surgical U-Clip - or Other TBD and AccessoriesCoalescent Surgical2002—
−2K023125Coalescent U-Clip- and AccessoriesCoalescent Surgical2002—
−1K024366Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical20031
0 (this device)K033324Compression Anastomosis Clip (Cac)Niti Medical Technologies, Ltd.2004—
+1K041751Compression Anastomosis Clip (Cac)Niti Medical Technologies, Ltd.2004—
+1K043115Laparoscopic Compression Anastomosis Clip (Lapcac)Niti Medical Technologies, Ltd.2004—
+1K050356Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd.2005—
+2K250541Self-Forming Magnet (Flexagon Plus OTOLoc)GI Windows, Inc.2025—
+2K062008Endo Car Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd.2006—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197710
198210
198410
198910
199110
199210
199310
199430
199530
199620
199730
199820
200020
200110
200210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200420
200510
200610
201110
202510
202610
FIG. 1 — Lineage of K033324, 1993–2026Source: 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 FZP? 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 FZP device

  1. #1 K260677 Vessel Closure Device (VCD177213P)score 12.6 · 3 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? (4)

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
*K931056Davis+Geck Valtrac Biofrag Anastomosis Ring
Summary page 2
…ed by the Division of General and Restorative Devices. Predicate Device: Valtrac Biofregmentable Anastomosis Ring (Devis + Geck) cleared under K931056 ProximateTM Linear Cutter and Stapler (Ethicon Endo-Surgery, Inc. USA) cleared under K020779. U-Cl…
American Cyanamid Co.1993—
*K020779Proximate and Endopath Linear Cutters and Staplers
Summary page 2
…stomosis Ring (Devis + Geck) cleared under K931056 ProximateTM Linear Cutter and Stapler (Ethicon Endo-Surgery, Inc. USA) cleared under K020779. U-Clip TM , (Coalescent Surgical, Inc. USA) cleared under K024366. Murphy's Button, preamendments device. Perfo…
Ethicon Endo-Surgery, Inc.200217
*K024366Coalescent Surgical U-Clip and Accessories
Summary page 2
…mateTM Linear Cutter and Stapler (Ethicon Endo-Surgery, Inc. USA) cleared under K020779. U-Clip TM , (Coalescent Surgical, Inc. USA) cleared under K024366. Murphy's Button, preamendments device. Performance Standards: No performance standards have been establish…
Coalescent Surgical20031
*—Murphy's Button
Named without a submission number
—

Also cleared against K931056: 1 other device →

What descends from it? (7)

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

NumberDeviceApplicantDecidedDescendants
K041751Compression Anastomosis Clip (Cac)Niti Medical Technologies, Ltd.20046
K043115Laparoscopic Compression Anastomosis Clip (Lapcac)Niti Medical Technologies, Ltd.20045
K050356Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd.20052

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 11 years and passes through 3 companies; a new generation was cleared every 1.3 years on median.
  • 5 of the 32 ancestors have a recall of any class.
  • Of its descendants, K041751 (Niti Medical Technologies, Ltd., 2004) has gone furthest, with 6 descendants of its own.
  • 1 other device also cites its predicate K931056.

How does its category compare?

All FZP devices

FZP Clip, Implantable: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · FZP

5in 2025

2007: 62008: 42009: 32010: 62011: 32012: 22013: 32014: 32015: 82016: 52017: 42018: 42019: 12020: 22022: 32023: 32024: 22025: 52026 (partial year): 2
2007high 8 (2015) · low 0 (2021)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FZP

90in 2025

2007: 31 days median2008: 23 days median2009: 22 days median2010: 47 days median2011: 124 days median2013: 47 days median2014: 29 days median2015: 182 days median2016: 72 days median2017: 29 days median2018: 143 days median2022: 227 days median2023: 65 days median2025: 90 days median
2007high 227 (2022) · low 22 (2009)2026

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

Recalls per year · FZP

1in 2020

2007: 12008: 62010: 12012: 12014: 12016: 22017: 12019: 32020: 1
2007high 6 (2008) · low 0 (2009)2026

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

Adverse event reports per year · FZP

1,902in 2025

2007: 1,8772008: 9812009: 2,1602010: 2,3672011: 1,6782012: 1,6772013: 2,3812014: 2,3202015: 2,8712016: 1,8402017: 2,5942018: 2,7182019: 2,9032020: 1,7602021: 1,7592022: 1,5752023: 1,9182024: 2,0672025: 1,902
2007high 2,903 (2019) · low 981 (2008)2025

MAUDE reports naming product code FZP, 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
200763111,877
20084236981
200932202,160
201064712,367
2011312401,678
20122—11,677
201334702,381
201432912,320
2015818202,871
201657221,840
201742912,594
2018414302,718
20191—32,903
20202—11,760
20210—01,759
2022322701,575
202336501,918
20242—02,067
202559001,902
20262—0—

What is it indicated for?

The NiTi CAC (Compression Anastomosis Clip) is intended to be used to facilitate colonic side-to-side anastomosis yielding an inverted serosa-to-serosa anastomosis. Once wound strength is sufficient to maintain the anastomosis, the NiTI CAC is passed from the body. The NiTI CAC is not applicable through trocars in laparoscopic procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K033324: Compression Anastomosis Clip (Cac).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K033324

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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