510(k) Report

510(k) · Cleared

Cleared

Polygram Net Biofeedback Application

K041244510(k) TraditionalCleared Aug 12, 200493-day reviewClass II21 CFR 882.5050

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

Medtronic Vascular · HCC Device, Biofeedback

Cleared on Aug 12, 2004 as substantially equivalent to K000386 (Medtronic Functional Diagnostics A/S, 2000) and 2 other predicates after a 93-day review. Its family tree reaches back 1 generation to 2000.

Decided
Aug 12, 2004
Review
93 days
Class
Class II
Product code
HCC
Recalls
None
Predicates
3

Its longest line of descent runs back 1 generation to K000386 (2000). 3 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2001: 2 other ancestorsK000386 · Polygram 98 Anorectal Function Testing Application, Model 9043S0111 · Medtronic Functional Diagnostics A/S · 20002000200220042006
Other ancestors, by generation 1 generation back: 2 other ancestors K000386 · Polygram 98 Anorectal Function Testing Application, Model 9043S0111 · Medtronic Functional Diagnostics A/S · 20000
  1. Root · 1 generation backK000386 Polygram 98 Anorectal Function Testing Application, Model 9043S0111Medtronic Functional Diagnostics A/S · 2000
  2. This deviceK041244 Polygram Net Biofeedback ApplicationMedtronic Vascular · 2004
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K000386Polygram 98 Anorectal Function Testing Application, Model 9043S0111Medtronic Functional Diagnostics A/S2000—
0 (this device)K041244Polygram Net Biofeedback ApplicationMedtronic Vascular2004—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200120
FIG. 1 — Lineage of K041244, 2000–2004Source: 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 HCC? 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 HCC device

  1. #1 K233580 A Breathing System (ABS)score 8.1 · 2 generations · no Class I recall
  2. #2 Held for the reportin the report
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What was it cleared against? (3)

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
*K000386Polygram 98 Anorectal Function Testing Application, Model 9043S0111
Summary page 1
…application Classification Name: Gastrointestinal motility monitoring system Name of Predicate Device POLYGRAM Anorectal Functional Testing Application, K000386 Regain Desktop, K003127 Orion Platinum, K003367 Device Description…
Medtronic Functional Diagnostics A/S2000—
*K003127Regain Desktop
Summary page 1
…stinal motility monitoring system Name of Predicate Device POLYGRAM Anorectal Functional Testing Application, K000386 Regain Desktop, K003127 Orion Platinum, K003367 Device Description The POLYGRAM NETTM Biofeedback Application is used to…
Srs Medical Systems, Inc.2001—
*K003367Orion Platinum
Summary page 1
…evice POLYGRAM Anorectal Functional Testing Application, K000386 Regain Desktop, K003127 Orion Platinum, K003367 Device Description The POLYGRAM NETTM Biofeedback Application is used to assess and treat pelvic floor dysfunction. Data is co…
Srs Medical Systems, Inc.2001—

What descends from it?

No later submission names this one as a predicate yet.

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?

  • None of the 3 ancestors has a recall.

How does its category compare?

All HCC devices

HCC Device, Biofeedback: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · HCC

1in 2024

2007: 12008: 22010: 12011: 12013: 22015: 22017: 12018: 12023: 12024: 1
2007high 2 (2008) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HCC

Too few HCC 510(k)s in any year since 2007 to give a median.

Recalls per year · HCC

1in 2015

2012: 12015: 1
2007high 1 (2012) · low 0 (2007)2026

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

Adverse event reports per year · HCC

5in 2024

2007: 22008: 22009: 12011: 42012: 22013: 22014: 22016: 42017: 32018: 12019: 62020: 22022: 32023: 22024: 5
2007high 6 (2019) · low 0 (2010)2025

MAUDE reports naming product code HCC, 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
20071—02
20082—02
20090—01
20101—00
20111—04
20120—12
20132—02
20140—02
20152—10
20160—04
20171—03
20181—01
20190—06
20200—02
20210—00
20220—03
20231—02
20241—05
20250—00
20260—0—

What is it indicated for?

The POLYGRAM NET Biofeedback Application is intended for the assessment and treatment of pelvic floor dysfunction through biofeedback in patients 4 years of age or older.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K041244: Polygram Net Biofeedback Application.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K041244

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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