510(k) Report

510(k) · Cleared

Cleared

Modification to Nxstage Cartridge Express

K050727510(k) SpecialCleared Jun 13, 200584-day reviewClass II21 CFR 876.5860

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

Nxstage Medical, Inc. · KDI Dialyzer, High Permeability With Or Without Sealed Dialysate System

Cleared on Jun 13, 2005 as substantially equivalent to K032356 (Nxstage Medical, Inc., 2003) after an 84-day review. Its family tree reaches back 4 generations to 1997. 5 later devices descend from it.

Decided
Jun 13, 2005
Review
84 days
Class
Class II
Product code
KDI
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to K955592 (1997). 7 ancestors in all, the oldest K923312 (1994). 5 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1997: 1 other ancestor2001: 1 other ancestor1994: 1 other ancestor2006: 1 descendant cleared2019: 1 descendant cleared2024: 1 descendant cleared2013: 2 descendants clearedK955592 · Cobe Centrysystem 14 Pes Hemodialyzers · Cobe Renal Care, Inc. · 1997K982414 · Gambro Polyflux 11S, 14S, 17S & 21S Hemodialyzers/ Hemofilters · Gambro Healthcare · 1999K014152 · Nxstage Cartridge Express · Nxstage Medical, Inc. · 2002K032356 · Nxstage System One with Cartridge Express · Nxstage Medical, Inc. · 20031990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 2 other ancestors 1 generation forward: 1 descendant2 generations forward: 4 descendants K032356 · Nxstage System One with Cartridge Express · Nxstage Medical, Inc. · 2003K014152 · Nxstage Cartridge Express · Nxstage Medical, Inc. · 2002K982414 · Gambro Polyflux 11S, 14S, 17S & 21S Hemodialyzers/ Hemofilters · Gambro Healthcare · 1999K955592 · Cobe Centrysystem 14 Pes Hemodialyzers · Cobe Renal Care, Inc. · 19970
  1. Root · 4 generations backK955592 Cobe Centrysystem 14 Pes HemodialyzersCobe Renal Care, Inc. · 1997
  2. 3 generations backK982414 Gambro Polyflux 11S, 14S, 17S & 21S Hemodialyzers/ HemofiltersGambro Healthcare · 1999
  3. 2 generations backK014152 Nxstage Cartridge ExpressNxstage Medical, Inc. · 2002
  4. 1 generation backK032356 Nxstage System One with Cartridge ExpressNxstage Medical, Inc. · 2003
  5. This deviceK050727 Modification to Nxstage Cartridge ExpressNxstage Medical, Inc. · 2005
  6. Descendant · cites it directly · 4 of its ownK061837 Nxstage Cartridge ExpressNxstage Medical, Inc. · 2006 · Recalled
  7. Descendant · 2 generations on · 0 of its ownK232803 NxStage System One with Cartridge Express (CAR-170-E and CAR-172-E)Nxstage Medical, Inc. · 2024
  8. Descendant · 2 generations on · 0 of its ownK183158 NxStage Cartridge Express with SpeedswapNxstage Medical, Inc. · 2019 · Recalled
  9. Descendant · 2 generations on · 0 of its ownK131050 Nxstage 1.6M2 DialyzerNxstage Medical, Inc. · 2013
  10. Descendant · 2 generations on · 0 of its ownK123395 Nxstage System One Low Volume Cartridge ExpressNxstage Medical, Inc. · 2013

Most influential descendants

Showing 5 of 5 · See all
  • K061837Nxstage Cartridge ExpressNxstage Medical, Inc. · 2006 · cites it directly4descendants
  • K232803NxStage System One with Cartridge Express (CAR-170-E and CAR-172-E)Nxstage Medical, Inc. · 2024 · 2 generations on0descendants
  • K183158NxStage Cartridge Express with SpeedswapNxstage Medical, Inc. · 2019 · 2 generations on0descendants
  • K131050Nxstage 1.6M2 DialyzerNxstage Medical, Inc. · 2013 · 2 generations on0descendants
  • K123395Nxstage System One Low Volume Cartridge ExpressNxstage Medical, Inc. · 2013 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K955592Cobe Centrysystem 14 Pes HemodialyzersCobe Renal Care, Inc.1997—
−3K982414Gambro Polyflux 11S, 14S, 17S & 21S Hemodialyzers/ HemofiltersGambro Healthcare1999—
−2K014152Nxstage Cartridge ExpressNxstage Medical, Inc.2002—
−1K032356Nxstage System One with Cartridge ExpressNxstage Medical, Inc.2003—
0 (this device)K050727Modification to Nxstage Cartridge ExpressNxstage Medical, Inc.2005—
+1K061837Nxstage Cartridge ExpressNxstage Medical, Inc.20061
+2K232803NxStage System One with Cartridge Express (CAR-170-E and CAR-172-E)Nxstage Medical, Inc.2024—
+2K183158NxStage Cartridge Express with SpeedswapNxstage Medical, Inc.20191
+2K131050Nxstage 1.6M2 DialyzerNxstage Medical, Inc.2013—
+2K123395Nxstage System One Low Volume Cartridge ExpressNxstage Medical, Inc.2013—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199710
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200610
201320
201910
202410
FIG. 1 — Lineage of K050727, 1997–2024Source: 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 KDI? 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 KDI device

  1. #1 K243874 FX CorAL 60 (F00012969); FX CorAL 80…score 18.2 · 12 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
*K032356Nxstage System One with Cartridge Express
Summary page 2
…has been performed to ensure that the modified device meets design specifications. The modified NxStage Cartridge Express has been compared to the baseline as cleared in K032356 and found to be substantially equivalent. Conclusion: Based on the device indications for use, comparison of descriptive and tec…
Nxstage Medical, Inc.2003—

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K061837Nxstage Cartridge ExpressNxstage Medical, Inc.20064

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 8 years and passes through 3 companies; a new generation was cleared every 1.9 years on median.
  • None of the 7 ancestors has a recall.
  • Of its descendants, K061837 (Nxstage Medical, Inc., 2006) has gone furthest, with 4 descendants of its own.

How does its category compare?

All KDI devices

KDI Dialyzer, High Permeability With Or Without Sealed Dialysate System: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KDI

9in 2025

2007: 112008: 62009: 42010: 92011: 52012: 62013: 112014: 82015: 52016: 52017: 82018: 22019: 42020: 92021: 22022: 72023: 72024: 72025: 92026 (partial year): 6
2007high 11 (2007) · low 2 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KDI

199in 2025

2007: 91 days median2008: 148 days median2009: 236 days median2010: 186 days median2011: 85 days median2012: 153 days median2013: 247 days median2014: 164 days median2015: 69 days median2016: 230 days median2017: 188 days median2019: 263 days median2020: 266 days median2022: 259 days median2023: 157 days median2024: 235 days median2025: 199 days median2026 (partial year): 154 days median
2007high 266 (2020) · low 69 (2015)2026

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

Recalls per year · KDI

2in 2025

2007: 42009: 32010: 12011: 42012: 12013: 22014: 32015: 52016: 42017: 12018: 12019: 62021: 22022: 172023: 8, 8 Class I2024: 4, 2 Class I2025: 22026 (partial year): 2
2007high 17 (2022) · low 0 (2008)2026

Class I (10 since 2007) Class II/III not classified

Adverse event reports per year · KDI

2,786in 2025

2007: 9162008: 1,0422009: 5222010: 8232011: 2,2702012: 1,7652013: 2,3602014: 6,1542015: 4,1822016: 7662017: 9632018: 1,7162019: 1,5872020: 1,6332021: 1,9442022: 2,1802023: 2,6922024: 2,4412025: 2,786
2007high 6,154 (2014) · low 522 (2009)2025

MAUDE reports naming product code KDI, 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
200711914916
2008614801,042
200942363522
201091861823
201158542,270
2012615311,765
20131124722,360
2014816436,154
201556954,182
201652304766
201781881963
20182—11,716
2019426361,587
2020926601,633
20212—21,944
20227259172,180
202371578 (8)2,692
202472354 (2)2,441
2025919922,786
202661542—

What is it indicated for?

The NxStage System One is indicated for treatment of renal failure or fluid overload using hemofiltration, hemodialysis, and/or ultrafiltration. All treatments must be administered by a health care provider, under physician's prescription.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K050727: Modification to Nxstage Cartridge Express.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K050727

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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