510(k) Report

510(k) · Cleared

Recalled · 2007

Acticlot, Model 824

K052124510(k) TraditionalCleared Oct 17, 200573-day reviewClass II21 CFR 864.7750Recalls 1

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

American Diagnostica, Inc. · GJS Test, Time, Prothrombin

Cleared on Oct 17, 2005 as substantially equivalent to K940490 (American Diagnostica, Inc., 1995) after a 73-day review. Its family tree reaches back 1 generation to 1995. It has been recalled once.

Decided
Oct 17, 2005
Review
73 days
Class
Class II
Product code
GJS
Recalls
1
Predicates
1

Its longest line of descent runs back 1 generation to K940490 (1995). No later device cites it as a predicate yet.

K940490 · DV Test and DVV Confirm · American Diagnostica, Inc. · 1995199619982000200220042006
K940490 · DV Test and DVV Confirm · American Diagnostica, Inc. · 19950
  1. Root · 1 generation backK940490 DV Test and DVV ConfirmAmerican Diagnostica, Inc. · 1995
  2. This deviceK052124 Acticlot, Model 824American Diagnostica, Inc. · 2005
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K940490DV Test and DVV ConfirmAmerican Diagnostica, Inc.1995—
0 (this device)K052124Acticlot, Model 824American Diagnostica, Inc.2005—
FIG. 1 — Lineage of K052124, 1995–2005Source: 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 GJS? 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 GJS device

  1. #1 K243543 microINR Systemscore 13.4 · 6 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
*K940490DV Test and DVV Confirm
Summary page 2
…n Name: Russell Viper Venom Reagent Device Classification: Class I Regulation Number: Title 21 CFR § 864.8950 Panel: Hematology Reagents Product Code: GIR K Number: K940490 Description of the Device: ACTICLOTR dPT'M is a test kit. It has three reagents that are used selectively for a screening proto…
American Diagnostica, Inc.1995—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Feb 28, 2007Not classifiedZ-0779-2007OtherStability of product not assured. An increase of clotting time for both normal and abnormal plasmas

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has no recall.

How does its category compare?

All GJS devices

GJS Test, Time, Prothrombin: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · GJS

3in 2025

2007: 42008: 12010: 42012: 12013: 12014: 12016: 12017: 12018: 22019: 22020: 12022: 32023: 22024: 12025: 3
2007high 4 (2007) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GJS

60in 2025

2007: 77 days median2010: 168 days median2022: 399 days median2025: 60 days median
2007high 399 (2022) · low 60 (2025)2026

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

Recalls per year · GJS

1in 2022

2007: 52008: 32009: 42010: 22011: 12012: 12013: 12014: 4, 3 Class I2017: 52018: 3, 2 Class I2020: 22021: 12022: 1
2007high 5 (2007) · low 0 (2015)2026

Class I (5 since 2007) Class II/III not classified

Adverse event reports per year · GJS

105in 2025

2007: 4392008: 4202009: 8762010: 2,1772011: 2,9652012: 2,1982013: 2,5842014: 2,3972015: 1,2602016: 8642017: 5322018: 1,9582019: 2,3852020: 1,3902021: 1,3592022: 1,2102023: 8092024: 1772025: 105
2007high 2,965 (2011) · low 105 (2025)2025

MAUDE reports naming product code GJS, 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
20074775439
20081—3420
20090—4876
2010416822,177
20110—12,965
20121—12,198
20131—12,584
20141—4 (3)2,397
20150—01,260
20161—0864
20171—5532
20182—3 (2)1,958
20192—02,385
20201—21,390
20210—11,359
2022339911,210
20232—0809
20241—0177
20253600105
20260—0—

What is it indicated for?

The ACTICLOT® dPT is intended for the qualitative determination of Lupus Anticoagulants (LA) in human plasma. The test is for in vitro diagnostic use.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K052124: Acticlot, Model 824.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K052124

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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