510(k) Report

510(k) · Cleared

Cleared

Integra

K053640510(k) TraditionalCleared Mar 1, 200661-day reviewClass II21 CFR 876.5990

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

Direx Systems Corp. · LNS Lithotriptor, Extracorporeal Shock-Wave, Urological

Cleared on Mar 1, 2006 as substantially equivalent to P920051 (KARL STORZ Endoscopy-America, Inc., 1995) and 3 other predicates after a 61-day review. Its family tree reaches back 4 generations to 1984. 6 later devices descend from it.

Decided
Mar 1, 2006
Review
61 days
Class
Class II
Product code
LNS
Recalls
None
Predicates
4

Its longest line of descent runs back 4 generations to P840008 (1984). 15 ancestors in all. 6 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 1 other ancestor2001: 2 other ancestors1995: 1 other ancestor2003: 1 other ancestor1997: 2 other ancestors2002: 1 other ancestor1996: 1 other ancestor1989: 1 other ancestor1988: 1 other ancestor2006: 2 descendants cleared2008: 1 descendant cleared2012: 1 descendant cleared2026: 2 descendants clearedP840008 · Dornier Lithotripter Compact Transportable (DLCT) · Dornier Medtech America, Inc. · 1984K011873 · Dornier Lithotripter S (Doli S) & Dornier Lithotripter S-XP (Doli S-XP) · Dornier · 2001×2: 2 generations cleared close together, K040470 (2004), K041582 (2004) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 2 other ancestors3 generations back: 5 other ancestors4 generations back: 1 other ancestor 1 generation forward: 4 descendants2 generations forward: 1 descendant3 generations forward: 1 descendant K041582 · Modification to Tripter X-1 Compact Duet · Direx Systems Corp. · 2004K040470 · Tripter X-1 Compact · Direx Systems Corp. · 2004K011873 · Dornier Lithotripter S (Doli S) & Dornier Lithotripter S-XP (Doli S-XP) · Dornier · 2001P840008 · Dornier Lithotripter Compact Transportable (DLCT) · Dornier Medtech America, Inc. · 19840
  1. Root · 4 generations backP840008 Dornier Lithotripter Compact Transportable (DLCT)Dornier Medtech America, Inc. · 1984
  2. 3 generations backK011873 Dornier Lithotripter S (Doli S) & Dornier Lithotripter S-XP (Doli…Dornier · 2001
  3. 2 generations backK040470 Tripter X-1 CompactDirex Systems Corp. · 2004
  4. 1 generation backK041582 Modification to Tripter X-1 Compact DuetDirex Systems Corp. · 2004
  5. This deviceK053640 IntegraDirex Systems Corp. · 2006
  6. Descendant · cites it directly · 3 of its ownK062147 Integra SLDirex Systems Corp. · 2006
  7. Descendant · cites it directly · 2 of its ownK072538 Piezolith 3000 Triple-Focus LithotripterUnited Medical Systems, Inc. · 2008
  8. Descendant · 2 generations on · 1 of its ownK252913 Break WaveSonomotion, Inc. · 2026
  9. Descendant · 3 generations on · 0 of its ownK261086 Break WaveSonomotion, Inc. · 2026
  10. Descendant · cites it directly · 0 of its ownK111947 Duet MagnaDirex Systems Corp. · 2012

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2006: 22008: 12012: 12026: 2
2006high 2 (2006) · low 0 (2007)2026

Most influential descendants

Showing 5 of 6 · See all
  • K062147Integra SLDirex Systems Corp. · 2006 · cites it directly3descendants
  • K072538Piezolith 3000 Triple-Focus LithotripterUnited Medical Systems, Inc. · 2008 · cites it directly2descendants
  • K252913Break WaveSonomotion, Inc. · 2026 · 2 generations on1descendant
  • K261086Break WaveSonomotion, Inc. · 2026 · 3 generations on0descendants
  • K111947Duet MagnaDirex Systems Corp. · 2012 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4P840008Dornier Lithotripter Compact Transportable (DLCT)Dornier Medtech America, Inc.1984—
−3K011873Dornier Lithotripter S (Doli S) & Dornier Lithotripter S-XP (Doli S-XP)Dornier2001—
−2K040470Tripter X-1 CompactDirex Systems Corp.2004—
−1K041582Modification to Tripter X-1 Compact DuetDirex Systems Corp.2004—
0 (this device)K053640IntegraDirex Systems Corp.2006—
+1K062147Integra SLDirex Systems Corp.2006—
+1K072538Piezolith 3000 Triple-Focus LithotripterUnited Medical Systems, Inc.2008—
+2K252913Break WaveSonomotion, Inc.2026—
+3K261086Break WaveSonomotion, Inc.2026—
+1K111947Duet MagnaDirex Systems Corp.2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
198910
199510
199610
199720
200120
200210
200310
200410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200620
200810
201210
202620
FIG. 1 — Lineage of K053640, 1984–2026Source: 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 LNS? 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 LNS device

  1. #1 K252913 Break Wavescore 15.5 · 7 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
*P920051Storz Modulith (TM) Lithotripter
Summary page 1
…controls) Product code: 78 LNS Panel: Gastroenterology and Urology 3. Predicate Devices Storz Modulith® SL-20/ (SLX) (P920051) Storz Modulith® Lithotripter Model SLK (K010340) Direx Tripter X - 1 Compact Duet (K041582) Direx 3Dscope (K041213)…
KARL STORZ Endoscopy-America, Inc.1995—
*K010340Modulith Lithotripsy, Model SLK for the Fragmentation of Urinary and Upper Ureteral…
Summary page 1
…Panel: Gastroenterology and Urology 3. Predicate Devices Storz Modulith® SL-20/ (SLX) (P920051) Storz Modulith® Lithotripter Model SLK (K010340) Direx Tripter X - 1 Compact Duet (K041582) Direx 3Dscope (K041213) 5-1 === Page…
Karl Storz Lithotripsy-America, Inc.2001—
*K041582Modification to Tripter X-1 Compact Duet
Summary page 1
…y and Urology 3. Predicate Devices Storz Modulith® SL-20/ (SLX) (P920051) Storz Modulith® Lithotripter Model SLK (K010340) Direx Tripter X - 1 Compact Duet (K041582) Direx 3Dscope (K041213) 5-1 4. Intended Use: The INTEGRA is intende…
Direx Systems Corp.2004—
*K0412133DSCOPE
Summary page 1
…ate Devices Storz Modulith® SL-20/ (SLX) (P920051) Storz Modulith® Lithotripter Model SLK (K010340) Direx Tripter X - 1 Compact Duet (K041582) Direx 3Dscope (K041213) 5-1 4. Intended Use: The INTEGRA is intended to fragment urinary stone…
Direx Systems Corp.2004—

Also cleared against P920051: 1 other device →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K062147Integra SLDirex Systems Corp.20063
K072538Piezolith 3000 Triple-Focus LithotripterUnited Medical Systems, Inc.20082
K111947Duet MagnaDirex Systems Corp.20120
K061873VERT-XDirex Systems Corp.20060

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 22 years and passes through 3 companies; a new generation was cleared every 2.7 years on median.
  • None of the 15 ancestors has a recall.
  • Of its descendants, K062147 (Direx Systems Corp., 2006) has gone furthest, with 3 descendants of its own.
  • 1 other device also cites its predicate P920051.

How does its category compare?

All LNS devices

LNS Lithotriptor, Extracorporeal Shock-Wave, Urological: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · LNS

1in 2025

2007: 42008: 22009: 12011: 32012: 32013: 22014: 22015: 22017: 22020: 12021: 12023: 22025: 12026 (partial year): 2
2007high 4 (2007) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LNS

111in 2012

2007: 146 days median2011: 307 days median2012: 111 days median
2007high 307 (2011) · low 111 (2012)2026

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

Recalls per year · LNS

1in 2015

2015: 1
2007high 1 (2015) · low 0 (2007)2026

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

Adverse event reports per year · LNS

61in 2025

2007: 42008: 102009: 22010: 152011: 212012: 202013: 182014: 212015: 222016: 502017: 542018: 592019: 602020: 382021: 552022: 522023: 862024: 402025: 61
2007high 86 (2023) · low 2 (2009)2025

MAUDE reports naming product code LNS, 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
2007414604
20082—010
20091—02
20100—015
20113307021
20123111020
20132—018
20142—021
20152—122
20160—050
20172—054
20180—059
20190—060
20201—038
20211—055
20220—052
20232—086
20240—040
20251—061
20262—0—

What is it indicated for?

The INTEGRA is intended to fragment urinary stones in the kidney (renal pelvis and renal calyces) and upper ureter

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K053640: Integra.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K053640

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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