510(k) Report

510(k) · Cleared

Cleared

Medisystems Arterial-Venous Fistula Needle Set with Securement Device

K062953510(k) TraditionalCleared Feb 12, 2007136-day reviewClass II21 CFR 876.5540

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

Medisystems Corp. · FIE Needle, Fistula

Cleared on Feb 12, 2007 as substantially equivalent to K941850 (Tnt Moborg Intl., Ltd., 1994) and 1 other predicate after a 136-day review. Its family tree reaches back 1 generation to 1994.

Decided
Feb 12, 2007
Review
136 days
Class
Class II
Product code
FIE
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K941850 (1994). 2 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 1994: 1 other ancestorK941850 · Immobile Non-Sterile and Immobile a/C Non-Sterile · Tnt Moborg Intl., Ltd. · 19941990199520002005
Other ancestors, by generation 1 generation back: 1 other ancestor K941850 · Immobile Non-Sterile and Immobile a/C Non-Sterile · Tnt Moborg Intl., Ltd. · 19940
  1. Root · 1 generation backK941850 Immobile Non-Sterile and Immobile a/C Non-SterileTnt Moborg Intl., Ltd. · 1994
  2. This deviceK062953 Medisystems Arterial-Venous Fistula Needle Set with Securement DeviceMedisystems Corp. · 2007
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K941850Immobile Non-Sterile and Immobile a/C Non-SterileTnt Moborg Intl., Ltd.1994—
0 (this device)K062953Medisystems Arterial-Venous Fistula Needle Set with Securement DeviceMedisystems Corp.2007—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
FIG. 1 — Lineage of K062953, 1994–2007Source: 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 FIE? 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 FIE device

  1. #1 K253469 Ritus™ Safety Fistula Cannula with Anti-Reflux…score 13.0 · 5 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
*K941850Immobile Non-Sterile and Immobile a/C Non-Sterile
Summary page 3
…substantially equivalent to the SiteGuard securement device are as follows: TNT Moborg Intl., LTD, Immobile Non-sterile and Immobile A/C non-sterile (K941850); and, * TNT Immobile sterile and Immobile A/C sterile (K941940). This 5 10(k) has been supplemented with the Imm…
Tnt Moborg Intl., Ltd.1994—
*K941940Immobile Sterile and Immobile a/C Sterile
Summary page 3
…lows: TNT Moborg Intl., LTD, Immobile Non-sterile and Immobile A/C non-sterile (K941850); and, * TNT Immobile sterile and Immobile A/C sterile (K941940). This 5 10(k) has been supplemented with the Immobile FST product, which is designed to provide fistula access…
Tnt Moborg Intl., Ltd.1994—

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?

  • None of the 2 ancestors has a recall.

How does its category compare?

All FIE devices

FIE Needle, Fistula: FDA decisions, review times, recalls and adverse event reports over 20 years. 2007, this device’s year, is highlighted.

FDA decisions per year · FIE

1in 2025

2007: 32009: 12010: 32011: 32012: 12014: 22015: 22017: 12018: 12022: 12025: 12026 (partial year): 1
2007high 3 (2007) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FIE

91in 2011

2007: 90 days median2010: 29 days median2011: 91 days median
2007high 91 (2011) · low 29 (2010)2026

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

Recalls per year · FIE

3in 2012

2012: 3
2007high 3 (2012) · low 0 (2007)2026

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

Adverse event reports per year · FIE

33in 2025

2007: 132008: 102009: 272010: 172011: 22012: 72013: 62014: 42015: 232016: 212017: 142018: 162019: 212020: 32021: 12022: 12023: 582024: 142025: 33
2007high 58 (2023) · low 1 (2021)2025

MAUDE reports naming product code FIE, 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
2007390013
20080—010
20091—027
2010329017
201139102
20121—37
20130—06
20142—04
20152—023
20160—021
20171—014
20181—016
20190—021
20200—03
20210—01
20221—01
20230—058
20240—014
20251—033
20261—0—

What is it indicated for?

The Medisystems Hemodialysis Fistula Needle Securement Device,

SiteGuard, is intended for use to secure the fistula needle to the patient's skin.

The SiteGuard needle securement device has the following features:

a. It allows the needle to be held at a consistent angle during treatment;

b. It secures wing/hub to the patient's skin and helps prevent movement

and/or dislodgement of the needle during use; and,

c. It helps to immobilize the patient's vein or access during cannulation so

that it is not necessary for caregivers to hold the vein or access with their

fingers.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K062953: Medisystems Arterial-Venous Fistula Needle Set with Securement Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K062953

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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