510(k) Report

510(k) · Cleared

Cleared

Laparoscopic Compression Anastomosis Clip (Lapcac)

K043115510(k) TraditionalCleared Dec 1, 200421-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 Dec 1, 2004 as substantially equivalent to K033324 (Niti Medical Technologies, Ltd., 2004) and 3 other predicates after a 21-day review. Its family tree reaches back 10 generations to 1993. 5 later devices descend from it.

Decided
Dec 1, 2004
Review
21 days
Class
Class II
Product code
FZP
Recalls
None
Predicates
4

Its longest line of descent runs back 10 generations to K933887 (1993). 37 ancestors in all, the oldest K771412 (1977). 5 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1991: 1 other ancestor1989: 2 other ancestors2002: 1 other ancestor1993: 1 other ancestor1988: 1 other ancestor1984: 2 other ancestors2000: 2 other ancestors1998: 2 other ancestors1997: 3 other ancestors1996: 2 other ancestors1994: 3 other ancestors1982: 1 other ancestor2001: 1 other ancestor1995: 3 other ancestors1992: 1 other ancestor1977: 1 other ancestor2025: 1 descendant cleared2005: 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) ×2: 2 generations cleared close together, K033324 (2004), K041751 (2004) 19801990200020102020
  1. Root · 10 generations backK933887 Implantable ClipUnited States Surgical, A Division of Tyco Healthc · 1993
  2. 6 generations between
  3. 3 generations backK024366 Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical · 2003 · Recalled
  4. 2 generations backK033324 Compression Anastomosis Clip (Cac)Niti Medical Technologies, Ltd. · 2004
  5. 1 generation backK041751 Compression Anastomosis Clip (Cac)Niti Medical Technologies, Ltd. · 2004
  6. This deviceK043115 Laparoscopic Compression Anastomosis Clip (Lapcac)Niti Medical Technologies, Ltd. · 2004
  7. Descendant · cites it directly · 2 of its ownK050356 Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd. · 2005
  8. Descendant · cites it directly · 1 of its ownK250541 Self-Forming Magnet (Flexagon Plus OTOLoc)GI Windows, Inc. · 2025
  9. Descendant · 2 generations on · 1 of its ownK062008 Endo Car Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd. · 2006
  10. Descendant · 2 generations on · 0 of its ownK253550 Self-Forming Magnet (Flexagon Plus OTOLoc)GI Windows, Inc. · 2026
  11. Descendant · 2 generations on · 0 of its ownK093661 ColonringNiti Surgical Solutions, Ltd. · 2011
Show all 10 generations
  1. Root · 10 generations backK933887 Implantable ClipUnited States Surgical, A Division of Tyco Healthc · 1993
  2. 9 generations backK962043 Auto Suture Modified VCS Clip ApplierUnited States Surgical, A Division of Tyco Healthc · 1996 · Recalled
  3. 8 generations backK994160 Coalescent Surgical Sutured-ClipCoalescent Surgical · 2000
  4. 7 generations backK012317 Coalescent Surgical U-ClipCoalescent Surgical · 2001
  5. 6 generations backK013664 Coalescent Surgical U-ClipCoalescent Surgical · 2002
  6. 5 generations backK021407 Coalescent Surgical U-Clip - or Other TBD and AccessoriesCoalescent Surgical · 2002
  7. 4 generations backK023125 Coalescent U-Clip- and AccessoriesCoalescent Surgical · 2002
  8. 3 generations backK024366 Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical · 2003 · Recalled
  9. 2 generations backK033324 Compression Anastomosis Clip (Cac)Niti Medical Technologies, Ltd. · 2004
  10. 1 generation backK041751 Compression Anastomosis Clip (Cac)Niti Medical Technologies, Ltd. · 2004
  11. This deviceK043115 Laparoscopic Compression Anastomosis Clip (Lapcac)Niti Medical Technologies, Ltd. · 2004

Most influential descendants

Showing 5 of 5 · See all
  • K050356Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd. · 2005 · cites it directly2descendants
  • K250541Self-Forming Magnet (Flexagon Plus OTOLoc)GI Windows, Inc. · 2025 · cites it directly1descendant
  • K062008Endo Car Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd. · 2006 · 2 generations on1descendant
  • K253550Self-Forming Magnet (Flexagon Plus OTOLoc)GI Windows, Inc. · 2026 · 2 generations on0descendants
  • K093661ColonringNiti Surgical Solutions, Ltd. · 2011 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K933887Implantable ClipUnited States Surgical, A Division of Tyco Healthc1993—
−9K962043Auto Suture Modified VCS Clip ApplierUnited States Surgical, A Division of Tyco Healthc19967
−8K994160Coalescent Surgical Sutured-ClipCoalescent Surgical2000—
−7K012317Coalescent Surgical U-ClipCoalescent Surgical2001—
−6K013664Coalescent Surgical U-ClipCoalescent Surgical2002—
−5K021407Coalescent Surgical U-Clip - or Other TBD and AccessoriesCoalescent Surgical2002—
−4K023125Coalescent U-Clip- and AccessoriesCoalescent Surgical2002—
−3K024366Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical20031
−2K033324Compression Anastomosis Clip (Cac)Niti Medical Technologies, Ltd.2004—
−1K041751Compression Anastomosis Clip (Cac)Niti Medical Technologies, Ltd.2004—
0 (this device)K043115Laparoscopic Compression Anastomosis Clip (Lapcac)Niti Medical Technologies, Ltd.2004—
+1K050356Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd.2005—
+1K250541Self-Forming Magnet (Flexagon Plus OTOLoc)GI Windows, Inc.2025—
+2K062008Endo Car Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd.2006—
+2K253550Self-Forming Magnet (Flexagon Plus OTOLoc)GI Windows, Inc.2026—
+2K093661ColonringNiti Surgical Solutions, Ltd.2011—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197710
198210
198420
198810
198920
199110
199210
199310
199430
199530
199620
199730
199820
200020
200110
200210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200510
200610
201110
202510
202610
FIG. 1 — Lineage of K043115, 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
*K033324Compression Anastomosis Clip (Cac)
Summary page 2
…by the Division of General and Restorative Devices. Predicate Device: * CAC, Compression Anastomosis Clip (NiTi Medical Technologies Ltd.) cleared under K033324. • CAC, Compression Anastomosis Clip (NiTi Medical Technologies Ltd.) cleared under K041751. * Endo GIA Unive…
Niti Medical Technologies, Ltd.2004—
*K041751Compression Anastomosis Clip (Cac)
Summary page 2
…omosis Clip (NiTi Medical Technologies Ltd.) cleared under K033324. • CAC, Compression Anastomosis Clip (NiTi Medical Technologies Ltd.) cleared under K041751. * Endo GIA Universal Stapler System (United States Surgical Cooperation, USA) originally cleared under K892233 and…
Niti Medical Technologies, Ltd.2004—
*K892233Auto Suture (R) Endoscopic Gia (TM) Surgical Stapler
Summary page 2
…ical Technologies Ltd.) cleared under K041751. * Endo GIA Universal Stapler System (United States Surgical Cooperation, USA) originally cleared under K892233 and K913802. Performance Standards: No performance standards have been established for such device under Section 514…
United States Surgical, A Division of Tyco Healthc1989—
*K913802Auto Suture (R) Powered Endoscopic Gia (TM) Stapler
Summary page 2
…ogies Ltd.) cleared under K041751. * Endo GIA Universal Stapler System (United States Surgical Cooperation, USA) originally cleared under K892233 and K913802. Performance Standards: No performance standards have been established for such device under Section 514 of the Fede…
United States Surgical, A Division of Tyco Healthc1991—

Also cleared against K033324: 2 other devices →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K050356Compression Anastomosis Ring (Car)Niti Medical Technologies, Ltd.20052
K250541Self-Forming Magnet (Flexagon Plus OTOLoc)GI Windows, Inc.20251

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 6 months on median.
  • 5 of the 37 ancestors have a recall of any class.
  • Of its descendants, K050356 (Niti Medical Technologies, Ltd., 2005) has gone furthest, with 2 descendants of its own.
  • 2 other devices also cite its predicate K033324.

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 Laparoscopic Compression Anastomosis Clip (LapCAC) is intended to be used to facilitate side-to-side anastomosis of the alimentary tract yielding an inverted serosa-to-serosa anastomosis. Once wound strength is sufficient to maintain the anastomosis, the NiTi Clip is passed from the body. The LapCAC is indicated for open, minimally invasive or laparoscopic procedures

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K043115: Laparoscopic Compression Anastomosis Clip (Lapcac).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K043115

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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