510(k) · Cleared
ClearedAlign and Align to Urethral Support Systems
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
C.R. Bard, Inc. · OTN Mesh, Surgical, Synthetic, Urogynecologic, For Stress Urinary Incontinence, Retropubic Or Transobturator
Cleared on May 7, 2010 as substantially equivalent to K070073 (C.R. Bard, Inc., 2007) after a 154-day review. Its family tree reaches back 3 generations to 1998.
- Decided
- May 7, 2010
- Review
- 154 days
- Class
- Class II
- Product code
- OTN
- Recalls
- None
- Predicates
- 1
Its longest line of descent runs back 3 generations to K974098 (1998). 5 ancestors in all. No later device cites it as a predicate yet.
- Root · 3 generations backK974098 Pubouurethral SlingETHICON, Inc. · 1998
- 2 generations backK041176 Uretex to Trans-Obturator Urethral Support SystemSofradim Production · 2004
- 1 generation backK070073 Align Urethral Support SystemC.R. Bard, Inc. · 2007
- This deviceK093747 Align and Align to Urethral Support SystemsC.R. Bard, Inc. · 2010
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −3 | K974098 | Pubouurethral Sling | ETHICON, Inc. | 1998 | — |
| −2 | K041176 | Uretex to Trans-Obturator Urethral Support System | Sofradim Production | 2004 | — |
| −1 | K070073 | Align Urethral Support System | C.R. Bard, Inc. | 2007 | — |
| 0 (this device) | K093747 | Align and Align to Urethral Support Systems | C.R. Bard, Inc. | 2010 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1998 | 1 | 0 |
| 1999 | 1 | 0 |
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 OTN? 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 OTN device
- #1 K231549 Advantage Ultra System, Advantage Fit Ultra…score 6.8 · 5 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the 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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K070073 | Align Urethral Support SystemSummary page 1…ame: Mesh, Surgical, Polymeric (21 CFR 878.3300, Product Code OTN PREDICATE DEVICE NAME: Trade Names: - Align® Urethral Support System Align® TO Urethral Support System K070073 DeViCE DESCRIPTION: The Align® Urethral Support System and Align® TO Urethral Support System (Align™ System) include a sterile,… | 2007 |
| † | K051530 | Monarc + Subfascial Hammock, Model 72404193; Monarc C Subfascial Hammock, Model 72404195. | 2005 |
| † | K081613 | Sparc System / Monarc, Monarc C, Monarc + Systems | 2008 |
| † | K081275 | Boston Scientific Surgical Mesh | 2008 |
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?
- The line of descent spans 12 years and passes through 3 companies; a new generation was cleared every 3.1 years on median.
- None of the 5 ancestors has a recall.
How does its category compare?
All OTN devicesOTN Mesh, Surgical, Synthetic, Urogynecologic, For Stress Urinary Incontinence, Retropubic Or Transobturator: FDA decisions, review times, recalls and adverse event reports over 20 years. 2010, this device’s year, is highlighted.
FDA decisions per year · OTN
1in 2023
2026 to Oct 25, outlined.
Median 510(k) review, days · OTN
89in 2021
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · OTN
1in 2014
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · OTN
458in 2025
MAUDE reports naming product code OTN, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 2 | — | 0 | 0 |
| 2008 | 3 | 100 | 0 | 0 |
| 2009 | 2 | — | 0 | 0 |
| 2010 | 5 | 25 | 0 | 1 |
| 2011 | 4 | 56 | 0 | 25 |
| 2012 | 1 | — | 0 | 874 |
| 2013 | 5 | 86 | 0 | 19,084 |
| 2014 | 1 | — | 1 | 2,063 |
| 2015 | 0 | — | 0 | 3,904 |
| 2016 | 0 | — | 0 | 1,902 |
| 2017 | 1 | — | 0 | 676 |
| 2018 | 0 | — | 0 | 737 |
| 2019 | 1 | — | 0 | 2,457 |
| 2020 | 1 | — | 0 | 1,003 |
| 2021 | 3 | 89 | 0 | 2,606 |
| 2022 | 2 | — | 0 | 809 |
| 2023 | 1 | — | 0 | 1,076 |
| 2024 | 0 | — | 0 | 822 |
| 2025 | 0 | — | 0 | 458 |
| 2026 | 1 | — | 0 | — |
What is it indicated for?
The Align® Urethral Support System is indicated for the treatment of female stress urinary incontinence resulting from urethral hypermobility and/or intrinsic sphincter deficiency.
Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.
https://510kreport.com/device/K093747 · printed Nov 4, 2026
Cite this page
510(k) Report. “K093747: Align and Align to Urethral Support Systems.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K093747
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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