510(k) Report

510(k) · Cleared

Cleared

Cardica Pas-Port Proximal Anastomosis System, Model FG-000001

K091017510(k) SpecialCleared Apr 29, 200920-day reviewClass II21 CFR 878.4300

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 29, 2009 as substantially equivalent to K081225 (Cardica, Inc., 2008) after a 20-day review. Its family tree reaches back 3 generations to 1997. 1 later device descends from it.

Decided
Apr 29, 2009
Review
20 days
Class
Class II
Product code
FZP
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K970793 (1997). 1 later device descends from it, 1 citing it directly.

  1. Root · 3 generations backK970793 Implantable ClipUnited States Surgical, A Division of Tyco Healthc · 1997
  2. 2 generations backK003446 Symmetry Aortic Clip SystemSt. Jude Medical Cardiovascular Group, Inc. · 2001
  3. 1 generation backK081225 Cardica Pas-Port Proximal Anastomosis SystemCardica, Inc. · 2008
  4. This deviceK091017 Cardica Pas-Port Proximal Anastomosis System, Model FG-000001Cardica, Inc. · 2009
  5. Descendant · cites it directly · 0 of its ownK202124 Aesculap PAS-Port Proximal Anastomosis SystemAesculap, Inc. · 2020 · Recalled

Most influential descendants

Showing 1 of 1 · See all
  • K202124Aesculap PAS-Port Proximal Anastomosis SystemAesculap, Inc. · 2020 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K970793Implantable ClipUnited States Surgical, A Division of Tyco Healthc1997—
−2K003446Symmetry Aortic Clip SystemSt. Jude Medical Cardiovascular Group, Inc.2001—
−1K081225Cardica Pas-Port Proximal Anastomosis SystemCardica, Inc.2008—
0 (this device)K091017Cardica Pas-Port Proximal Anastomosis System, Model FG-000001Cardica, Inc.2009—
+1K202124Aesculap PAS-Port Proximal Anastomosis SystemAesculap, Inc.20202

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
FIG. 1 — Lineage of K091017, 1997–2020Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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
*K081225Cardica Pas-Port Proximal Anastomosis System
Summary page 2
…e PAS-Port® Proximal Anastomosis System is substantially Predicate Device equivalent to the PAS-Port® Proximal Anastomosis System (K081225, 21 CFR §878.4300). Device Testing All necessary in vitro and in vivo testing has been performed Results and…
Cardica, Inc.2008—

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K202124Aesculap PAS-Port Proximal Anastomosis SystemAesculap, Inc.20200

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 12 years and passes through 3 companies; a new generation was cleared every 3.8 years on median.
  • None of the 3 ancestors has a recall.
  • Of its descendants, K202124 (Aesculap, Inc., 2020) has gone furthest, with 0 descendants of its own.

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® PAS-Port® Proximal Anastomosis System is intended to create the aortic anastomosis of aortic autologous vein grafts.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K091017: Cardica Pas-Port Proximal Anastomosis System, Model FG-000001.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K091017

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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