510(k) Report

510(k) · Cleared

Cleared

Codman Aneurysm Clips, Codman Avm Micro Clip System, Codman Slim-Line Graft, Reinforcing, Mini Aneurysm Clip

K091921510(k) SpecialCleared Sep 8, 200970-day reviewClass II21 CFR 882.5200

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

Codman & Shurtleff, Inc. · HCH Clip, Aneurysm

Cleared on Sep 8, 2009 as substantially equivalent to K912456 (Codman & Shurtleff, Inc., 1995) and 1 other predicate after a 70-day review. Its family tree reaches back 1 generation to 1990.

Decided
Sep 8, 2009
Review
70 days
Class
Class II
Product code
HCH
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K902544 (1990). 2 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 1995: 1 other ancestorK902544 · Sundt Avm Micro Clip · Codman & Shurtleff, Inc. · 199019901995200020052010
Other ancestors, by generation 1 generation back: 1 other ancestor K902544 · Sundt Avm Micro Clip · Codman & Shurtleff, Inc. · 19900
  1. Root · 1 generation backK902544 Sundt Avm Micro ClipCodman & Shurtleff, Inc. · 1990
  2. This deviceK091921 Codman Aneurysm Clips, Codman Avm Micro Clip System, Codman…Codman & Shurtleff, Inc. · 2009
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K902544Sundt Avm Micro ClipCodman & Shurtleff, Inc.1990—
0 (this device)K091921Codman Aneurysm Clips, Codman Avm Micro Clip System, Codman Slim-Line Graft…Codman & Shurtleff, Inc.2009—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
FIG. 1 — Lineage of K091921, 1990–2009Source: 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 HCH? 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 HCH device

  1. #1 K211183 Sugita AVM Microclipsscore 3.2 · 2 generations · no Class I recall
Get a 510(k) Report

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
*K912456Sundt Slim-Line Graft Clips
Summary page 2
…HCH Proposed Device Class: HCH: Class IIper 21 CFR § 882.5200 Clip, Aneurysm Predicate Device(s): K912456 SUNDT SLIM-LINE GRAFT CLIPS K902544 SUNDT AVM MICRO CLIP SYSTEM Device Description: Aneurysm clip…
Codman & Shurtleff, Inc.1995—
*K902544Sundt Avm Micro Clip
Summary page 2
…§ 882.5200 Clip, Aneurysm Predicate Device(s): K912456 SUNDT SLIM-LINE GRAFT CLIPS K902544 SUNDT AVM MICRO CLIP SYSTEM Device Description: Aneurysm clips have two parts, a spring section and two blades. The spring secti…
Codman & Shurtleff, Inc.1990—

Also cleared against K912456: 1 other device →

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.
  • 1 other device also cites its predicate K912456.

How does its category compare?

All HCH devices

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

FDA decisions per year · HCH

1in 2022

2007: 12008: 12009: 22014: 12019: 12022: 1
2007high 2 (2009) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HCH

Too few HCH 510(k)s in any year since 2007 to give a median.

Recalls per year · HCH

2in 2013

2013: 2
2007high 2 (2013) · low 0 (2007)2026

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

Adverse event reports per year · HCH

2in 2025

2010: 42012: 42013: 32014: 132015: 92016: 52017: 12018: 192019: 92020: 92021: 132022: 12023: 102024: 92025: 2
2007high 19 (2018) · low 0 (2007)2025

MAUDE reports naming product code HCH, 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
20071—00
20081—00
20092—00
20100—04
20110—00
20120—04
20130—23
20141—013
20150—09
20160—05
20170—01
20180—019
20191—09
20200—09
20210—013
20221—01
20230—010
20240—09
20250—02
20260—0—

What is it indicated for?

Codman Slim Line Standard Clip is used for permanent occlusion of intracranial aneurysm. Codman Slim Line Mini Clip is used for the occlusion of small vessels when controlling bleeding on arteriovenous malformations or other similar venous structures. Codman Slim-Line Graft clip is used to encircle an artery in which a hole has developed as a result of a traumatic injury to the vessel or from an aneurysm tearing at its base that cannot be sutured as the…

Read the full statement (162 words)

Codman Slim Line Standard Clip is used for permanent occlusion of intracranial aneurysm.

Codman Slim Line Mini Clip is used for the occlusion of small vessels when controlling bleeding on arteriovenous malformations or other similar venous structures.

Codman Slim-Line Graft clip is used to encircle an artery in which a hole has developed as a result of a traumatic injury to the vessel or from an aneurysm tearing at its base that cannot be sutured as the hole is in such a position that it is difficult for the surgeon to rotate a needle.

Codman Slim-Line Reinforcing clip is used to reinforce aneurysm clips that may not be of adequate strength to occlude the aneurysm.

Codman Slim-Line Temporary Aneurysm Clip is used for the occlusion of small vessels when controlling bleeding on arteriovenous malformations or other similar venous structure.

Codman AVM Micro Clip System is designed for occlusion of small vessels when controlling bleeding on arteriovenous malformation or other smaller venous structures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K091921: Codman Aneurysm Clips, Codman Avm Micro Clip System, Codman Slim-Line Graft, Reinforcing, Mini Aneurysm Clip.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K091921

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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