510(k) Report

510(k) · Cleared

Recalled · Class II · 2018

Modification to Cardica C-Port XA Distal Anastomosis System

K090872510(k) SpecialCleared Apr 21, 200922-day reviewClass II21 CFR 878.4300Recalls 1

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

Cardica, Inc. · FZP Clip, Implantable

Cleared on Apr 21, 2009 as substantially equivalent to K063644 (Cardica, Inc., 2007) after a 22-day review. Its family tree reaches back 12 generations to 1993. 1 later device descends from it. It has been recalled once.

Decided
Apr 21, 2009
Review
22 days
Class
Class II
Product code
FZP
Recalls
1
Predicates
1

Its longest line of descent runs back 12 generations to K933887 (1993). 35 ancestors in all, the oldest K771412 (1977). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor2000: 2 other ancestors1998: 2 other ancestors1997: 3 other ancestors1996: 2 other ancestors1994: 3 other ancestors1991: 1 other ancestor1989: 1 other ancestor1984: 1 other ancestor1982: 1 other ancestor1977: 1 other ancestor2001: 1 other ancestor1995: 3 other ancestors1992: 1 other ancestor2010: 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 · 2000×6: 6 generations cleared close together, K012317 (2001), K013664 (2002), K021407 (2002), K023125 (2002), K024366 (2003), K031623 (2003) K040832 · C-Port Anastomosis System (Deployment System, Clip, Accessories), Model FG-000050 · Cardica, Inc. · 2005×2: 2 generations cleared close together, K053524 (2006), K063644 (2007) 19801990200020102020
  1. Root · 12 generations backK933887 Implantable ClipUnited States Surgical, A Division of Tyco Healthc · 1993
  2. 8 generations between
  3. 3 generations backK040832 C-Port Anastomosis System (Deployment System, Clip, Accessories)…Cardica, Inc. · 2005
  4. 2 generations backK053524 C-Port Distal Anastomosis SystemCardica, Inc. · 2006 · Recalled
  5. 1 generation backK063644 Cardica C-Port XA Distal Anastomosis SystemCardica, Inc. · 2007 · Recalled
  6. This deviceK090872 Modification to Cardica C-Port XA Distal Anastomosis SystemCardica, Inc. · 2009
  7. Descendant · cites it directly · 0 of its ownK101018 Cardica C-Port XA Plus Distal Anastomosis System, Model FG-000100Cardica, Inc. · 2010 · Recalled
Show all 12 generations
  1. Root · 12 generations backK933887 Implantable ClipUnited States Surgical, A Division of Tyco Healthc · 1993
  2. 11 generations backK962043 Auto Suture Modified VCS Clip ApplierUnited States Surgical, A Division of Tyco Healthc · 1996 · Recalled
  3. 10 generations backK994160 Coalescent Surgical Sutured-ClipCoalescent Surgical · 2000
  4. 9 generations backK012317 Coalescent Surgical U-ClipCoalescent Surgical · 2001
  5. 8 generations backK013664 Coalescent Surgical U-ClipCoalescent Surgical · 2002
  6. 7 generations backK021407 Coalescent Surgical U-Clip - or Other TBD and AccessoriesCoalescent Surgical · 2002
  7. 6 generations backK023125 Coalescent U-Clip- and AccessoriesCoalescent Surgical · 2002
  8. 5 generations backK024366 Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical · 2003 · Recalled
  9. 4 generations backK031623 Modification to Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical · 2003 · Recalled
  10. 3 generations backK040832 C-Port Anastomosis System (Deployment System, Clip, Accessories)…Cardica, Inc. · 2005
  11. 2 generations backK053524 C-Port Distal Anastomosis SystemCardica, Inc. · 2006 · Recalled
  12. 1 generation backK063644 Cardica C-Port XA Distal Anastomosis SystemCardica, Inc. · 2007 · Recalled
  13. This deviceK090872 Modification to Cardica C-Port XA Distal Anastomosis SystemCardica, Inc. · 2009

Most influential descendants

Showing 1 of 1 · See all
  • K101018Cardica C-Port XA Plus Distal Anastomosis System, Model FG-000100Cardica, Inc. · 2010 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K933887Implantable ClipUnited States Surgical, A Division of Tyco Healthc1993—
−11K962043Auto Suture Modified VCS Clip ApplierUnited States Surgical, A Division of Tyco Healthc19967
−10K994160Coalescent Surgical Sutured-ClipCoalescent Surgical2000—
−9K012317Coalescent Surgical U-ClipCoalescent Surgical2001—
−8K013664Coalescent Surgical U-ClipCoalescent Surgical2002—
−7K021407Coalescent Surgical U-Clip - or Other TBD and AccessoriesCoalescent Surgical2002—
−6K023125Coalescent U-Clip- and AccessoriesCoalescent Surgical2002—
−5K024366Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical20031
−4K031623Modification to Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical20034
−3K040832C-Port Anastomosis System (Deployment System, Clip, Accessories), Model…Cardica, Inc.2005—
−2K053524C-Port Distal Anastomosis SystemCardica, Inc.20061
−1K063644Cardica C-Port XA Distal Anastomosis SystemCardica, Inc.20071
0 (this device)K090872Modification to Cardica C-Port XA Distal Anastomosis SystemCardica, Inc.2009—
+1K101018Cardica C-Port XA Plus Distal Anastomosis System, Model FG-000100Cardica, Inc.20101

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197710
198210
198410
198910
199110
199210
199430
199530
199620
199730
199820
200020
200110
200210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201010
FIG. 1 — Lineage of K090872, 1993–2010Source: 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? (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
*K063644Cardica C-Port XA Distal Anastomosis System
Summary page 1
…m Common Name: Cardiovascular Surgical Instruments Predicate Device(s) Cardica® C-Port® xATM Distal Anastomosis System (K063644) Device Description The Cardica® C-Port® xATM PLUSTM Distal Anastomosis System is a sterile…
Cardica, Inc.20071

Also cleared against K063644: 2 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K101018Cardica C-Port XA Plus Distal Anastomosis System, Model FG-000100Cardica, Inc.20100

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

Recalls of this device

DateClassRecallRoot causeReason
Apr 2, 2018Class IIZ-2433-2018Under Investigation by firmFollowing pressurization of the devices, damage to the device handle mechanism may occur, accompanied by a loud noise and potential dispersion of plastic fragments and components.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 16 years and passes through 3 companies; a new generation was cleared every 1.0 years on median.
  • 8 of the 35 ancestors have a recall of any class.
  • Of its descendants, K101018 (Cardica, Inc., 2010) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K063644.

How does its category compare?

All FZP devices

FZP Clip, Implantable: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.

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 Cardica® C-Port® xA PLUS TM Distal Anastomosis System is intended for the creation of anastomoses in blood vessels and grafts, including use in coronary artery bypass grafting procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K090872: Modification to Cardica C-Port XA Distal Anastomosis System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K090872

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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