510(k) Report

510(k) · Cleared

Cleared

Modification to Surgical Mesh Polymeric

K040787510(k) SpecialCleared Apr 14, 200416-day reviewClass II21 CFR 878.3300

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

Boston Scientific · OTN Mesh, Surgical, Synthetic, Urogynecologic, For Stress Urinary Incontinence, Retropubic Or Transobturator

Cleared on Apr 14, 2004 as substantially equivalent to K020110 (Boston Scientific, 2002) after a 16-day review. Its family tree reaches back 2 generations to 1994. 4 later devices descend from it.

Decided
Apr 14, 2004
Review
16 days
Class
Class II
Product code
OTN
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K945377 (1994). 5 ancestors in all. 4 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor1998: 2 other ancestors2012: 1 descendant cleared2021: 1 descendant cleared2017: 1 descendant cleared2023: 1 descendant clearedK945377 · Trelex Natural (R) Mesh · Meadox Medicals, Div. Boston Scientific Corp. · 1994K020110 · Modification to Trelex Mesh Surgical Mesh · Boston Scientific · 20021990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 3 other ancestors 1 generation forward: 1 descendant2 generations forward: 2 descendants3 generations forward: 1 descendant K020110 · Modification to Trelex Mesh Surgical Mesh · Boston Scientific · 2002K945377 · Trelex Natural (R) Mesh · Meadox Medicals, Div. Boston Scientific Corp. · 19940
  1. Root · 2 generations backK945377 Trelex Natural (R) MeshMeadox Medicals, Div. Boston Scientific Corp. · 1994
  2. 1 generation backK020110 Modification to Trelex Mesh Surgical MeshBoston Scientific · 2002
  3. This deviceK040787 Modification to Surgical Mesh PolymericBoston Scientific · 2004
  4. Descendant · cites it directly · 3 of its ownK121754 Blue Sui SlingBoston Scientific Corp · 2012
  5. Descendant · 2 generations on · 1 of its ownK211223 Advantage Ultra System, Advantage Fit Ultra System, Lynx Ultra SystemBoston Scientific Corporation · 2021
  6. Descendant · 3 generations on · 0 of its ownK231549 Advantage Ultra System, Advantage Fit Ultra System, Lynx Ultra SystemBoston Scientific Corporation · 2023
  7. Descendant · 2 generations on · 0 of its ownK172565 Advantage/Advantage Fit Delivery Device, Lynx Delivery Device…Boston Scientific Corporation · 2017

Most influential descendants

Showing 4 of 4 · See all
  • K121754Blue Sui SlingBoston Scientific Corp · 2012 · cites it directly3descendants
  • K211223Advantage Ultra System, Advantage Fit Ultra System, Lynx Ultra SystemBoston Scientific Corporation · 2021 · 2 generations on1descendant
  • K231549Advantage Ultra System, Advantage Fit Ultra System, Lynx Ultra SystemBoston Scientific Corporation · 2023 · 3 generations on0descendants
  • K172565Advantage/Advantage Fit Delivery Device, Lynx Delivery Device, Obtryx Delivery Device…Boston Scientific Corporation · 2017 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K945377Trelex Natural (R) MeshMeadox Medicals, Div. Boston Scientific Corp.1994—
−1K020110Modification to Trelex Mesh Surgical MeshBoston Scientific2002—
0 (this device)K040787Modification to Surgical Mesh PolymericBoston Scientific2004—
+1K121754Blue Sui SlingBoston Scientific Corp2012—
+2K211223Advantage Ultra System, Advantage Fit Ultra System, Lynx Ultra SystemBoston Scientific Corporation2021—
+3K231549Advantage Ultra System, Advantage Fit Ultra System, Lynx Ultra SystemBoston Scientific Corporation2023—
+2K172565Advantage/Advantage Fit Delivery Device, Lynx Delivery Device, Obtryx Delivery…Boston Scientific Corporation2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199820
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201710
202110
202310
FIG. 1 — Lineage of K040787, 1994–2023Source: 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 OTN? 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 OTN device

  1. #1 K231549 Advantage Ultra System, Advantage Fit Ultra…score 6.8 · 5 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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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
*K020110Modification to Trelex Mesh Surgical Mesh
Summary page 1
…s Common/usual name: Surgical Mesh Classification Name: OTN- Mesh, Surgical, Polymeric 21 CFR 878.3300, Class II Premarket Notification: Boston Scientific Corporation, = K020110 E. Device Description The proposed sling is a sterile, single use device, consisting of a synthetic mesh sling assembly and pack…
Boston Scientific2002—

Also cleared against K020110: 5 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K121754Blue Sui SlingBoston Scientific Corp20123

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 10 years and passes through 2 companies; a new generation was cleared every 7.3 years on median.
  • None of the 5 ancestors has a recall.
  • Of its descendants, K121754 (Boston Scientific Corp, 2012) has gone furthest, with 3 descendants of its own.
  • 5 other devices also cite its predicate K020110.

How does its category compare?

All OTN devices

OTN Mesh, Surgical, Synthetic, Urogynecologic, For Stress Urinary Incontinence, Retropubic Or Transobturator: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · OTN

1in 2023

2007: 22008: 32009: 22010: 52011: 42012: 12013: 52014: 12017: 12019: 12020: 12021: 32022: 22023: 12026 (partial year): 1
2007high 5 (2010) · low 0 (2015)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OTN

89in 2021

2008: 100 days median2010: 25 days median2011: 56 days median2013: 86 days median2021: 89 days median
2007high 100 (2008) · low 25 (2010)2026

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

Recalls per year · OTN

1in 2014

2014: 1
2007high 1 (2014) · low 0 (2007)2026

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

Adverse event reports per year · OTN

458in 2025

2010: 12011: 252012: 8742013: 19,0842014: 2,0632015: 3,9042016: 1,9022017: 6762018: 7372019: 2,4572020: 1,0032021: 2,6062022: 8092023: 1,0762024: 8222025: 458
2007high 19,084 (2013) · low 0 (2007)2025

MAUDE reports naming product code OTN, 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
20072—00
2008310000
20092—00
201052501
2011456025
20121—0874
2013586019,084
20141—12,063
20150—03,904
20160—01,902
20171—0676
20180—0737
20191—02,457
20201—01,003
202138902,606
20222—0809
20231—01,076
20240—0822
20250—0458
20261—0—

What is it indicated for?

The mesh implant is intended for use as a suburethral sling for the treatment of stress urinary incontinence resulting from urethral hypermobility and/or intrinsic sphincter deficiency.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K040787: Modification to Surgical Mesh Polymeric.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K040787

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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