510(k) Report

510(k) · Cleared

Cleared

Hemamyst Surgical Applicator System, Model H-AS01

K041504510(k) TraditionalCleared Aug 6, 200460-day reviewClass II21 CFR 880.5860

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

Haemacure Corp. · FMF Syringe, Piston

Cleared on Aug 6, 2004 as substantially equivalent to K994023 (Haemacure Corp., 2000) and 1 other predicate after a 60-day review. Its family tree reaches back 4 generations to 1987.

Decided
Aug 6, 2004
Review
60 days
Class
Class II
Product code
FMF
Recalls
None
Predicates
2

Its longest line of descent runs back 4 generations to K872565 (1987). 7 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor3 generations back: 1 other ancestor K981089 · Tissomat and Spray Set · Baxter Healthcare Corp · 2000K973510 · Duploject (0.5/1.0 ML, 2.0 ML, 5.0 ML) · Immuno-U.S., Inc. · 1997K964833 · Rmi Dual Fluid Irrigating Syringe · Research Medical, Inc. · 1997K872565 · Duoflo Dispenser · Hemaedics, Inc. · 19870
  1. Root · 4 generations backK872565 Duoflo DispenserHemaedics, Inc. · 1987
  2. 3 generations backK964833 Rmi Dual Fluid Irrigating SyringeResearch Medical, Inc. · 1997
  3. 2 generations backK973510 Duploject (0.5/1.0 ML, 2.0 ML, 5.0 ML)Immuno-U.S., Inc. · 1997
  4. 1 generation backK981089 Tissomat and Spray SetBaxter Healthcare Corp · 2000
  5. This deviceK041504 Hemamyst Surgical Applicator System, Model H-AS01Haemacure Corp. · 2004
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K872565Duoflo DispenserHemaedics, Inc.1987—
−3K964833Rmi Dual Fluid Irrigating SyringeResearch Medical, Inc.1997—
−2K973510Duploject (0.5/1.0 ML, 2.0 ML, 5.0 ML)Immuno-U.S., Inc.1997—
−1K981089Tissomat and Spray SetBaxter Healthcare Corp2000—
0 (this device)K041504Hemamyst Surgical Applicator System, Model H-AS01Haemacure Corp.2004—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
199710
200010
FIG. 1 — Lineage of K041504, 1987–2004Source: 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 FMF? 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 FMF device

  1. #1 K241821 Luer Lock Syringe with Safety Needle; Luer…score 16.2 · 8 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? (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
*K994023Haemacure Hemamyst Surgical Applicator System H-AS01
Summary page 1
…emaMyst Surgical Applicator System Common/Usual/Classification Name: Syringe, Piston Predicate Device(s): Haemacure HemaMyst Surgical Applicator System 510(k) No. K994023 Haemacure Corporation Tissomat and Spray Set 510(k) No. K981089 Baxter Healthcare Corporation Device Description:…
Haemacure Corp.2000—
*K981089Tissomat and Spray Set
Summary page 1
…Syringe, Piston Predicate Device(s): Haemacure HemaMyst Surgical Applicator System 510(k) No. K994023 Haemacure Corporation Tissomat and Spray Set 510(k) No. K981089 Baxter Healthcare Corporation Device Description:…
Baxter Healthcare Corp2000—

Also cleared against K994023: 1 other device →

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?

  • The line of descent spans 17 years and passes through 5 companies; a new generation was cleared every 4.1 years on median.
  • 1 of the 7 ancestors has a recall of any class.
  • 1 other device also cites its predicate K994023.

How does its category compare?

All FMF devices

FMF Syringe, Piston: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · FMF

13in 2025

2007: 232008: 92009: 142010: 112011: 162012: 92013: 122014: 132015: 112016: 122017: 132018: 82019: 112020: 152021: 202022: 242023: 222024: 142025: 132026 (partial year): 9
2007high 24 (2022) · low 8 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FMF

114in 2025

2007: 90 days median2008: 74 days median2009: 94 days median2010: 130 days median2011: 109 days median2012: 86 days median2013: 154 days median2014: 84 days median2015: 87 days median2016: 146 days median2017: 135 days median2018: 87 days median2019: 146 days median2020: 107 days median2021: 175 days median2022: 211 days median2023: 173 days median2024: 130 days median2025: 114 days median2026 (partial year): 239 days median
2007high 239 (2026) · low 74 (2008)2026

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

Recalls per year · FMF

19in 2023

2007: 62008: 112009: 152010: 122011: 32012: 62013: 12014: 12015: 22017: 32018: 22019: 12020: 22021: 12022: 22023: 19, 18 Class I2026 (partial year): 2, 1 Class I
2007high 19 (2023) · low 0 (2016)2026

Class I (19 since 2007) Class II/III not classified

Adverse event reports per year · FMF

4,181in 2025

2007: 6742008: 6912009: 9132010: 6792011: 1862012: 3072013: 3262014: 2442015: 2732016: 6842017: 1,8582018: 3,9522019: 5,8632020: 5,3342021: 5,8742022: 5,2332023: 5,2142024: 5,1222025: 4,181
2007high 5,874 (2021) · low 186 (2011)2025

MAUDE reports naming product code FMF, 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
200723906674
200897411691
2009149415913
20101113012679
2011161093186
20129866307
2013121541326
201413841244
201511872273
2016121460684
20171313531,858
201888723,952
20191114615,863
20201510725,334
20212017515,874
20222421125,233
20232217319 (18)5,214
20241413005,122
20251311404,181
202692392 (1)—

What is it indicated for?

The HemaMyst Surgical Applicator System is indicated for the simultaneous application of the two components of HEMASEEL APR Fibrin Sealant or Tisseel VH Fibrin Sealant to the treatment site.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K041504: Hemamyst Surgical Applicator System, Model H-AS01.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K041504

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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