510(k) Report

510(k) · Cleared

Cleared

Medi-Sis Syringe Infusion System

K111381510(k) TraditionalCleared Jan 13, 2012241-day reviewClass II21 CFR 880.5725

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

Acacia, Inc. · LZH Pump, Infusion, Enteral

Cleared on Jan 13, 2012 as substantially equivalent to K953028 (I-Flow Corp., 1995) and 3 other predicates after a 241-day review. Its family tree reaches back 4 generations to 1990. 3 of the 19 devices in its family, counting itself, have a Class I recall.

Decided
Jan 13, 2012
Review
241 days
Class
Class II
Product code
LZH
Recalls
None
Predicates
4

Its longest line of descent runs back 4 generations to K904518 (1990). 18 ancestors in all, the oldest K890120 (1989). No later device cites it as a predicate yet. 3 of the 19 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 1997: 1 other ancestor1995: 4 other ancestors, 1 with a Class I recall12003: 1 other ancestor2002: 1 other ancestor, 1 with a Class I recall11999: 1 other ancestor1998: 1 other ancestor1996: 1 other ancestor1994: 2 other ancestors1990: 1 other ancestor1989: 1 other ancestorK904518 · Volumetric Infusion Pump · Kendall Mcgaw Laboratories, Inc. · 1990 · recalledK994375 · Horizon Light · B.Braun Medical, Inc. · 2000 · Class I recallK022575 · Perfusor Compact with FM System · B.Braun Medical, Inc. · 2002K062699 · Perfusor Space Infusion Syringe Pump System · B.Braun Medical, Inc. · 2006198519901995200020052010
Other ancestors, by generation 1 generation back: 3 other ancestors2 generations back: 2 other ancestors, 1 with a Class I recall13 generations back: 3 other ancestors, 1 with a Class I recall14 generations back: 6 other ancestors K062699 · Perfusor Space Infusion Syringe Pump System · B.Braun Medical, Inc. · 2006K022575 · Perfusor Compact with FM System · B.Braun Medical, Inc. · 2002K994375 · Horizon Light · B.Braun Medical, Inc. · 2000 · Class I recallK904518 · Volumetric Infusion Pump · Kendall Mcgaw Laboratories, Inc. · 1990 · recalled0
  1. Root · 4 generations backK904518 Volumetric Infusion PumpKendall Mcgaw Laboratories, Inc. · 1990 · Recalled
  2. 3 generations backK994375 Horizon LightB.Braun Medical, Inc. · 2000 · Recalled (Class I)
  3. 2 generations backK022575 Perfusor Compact with FM SystemB.Braun Medical, Inc. · 2002
  4. 1 generation backK062699 Perfusor Space Infusion Syringe Pump SystemB.Braun Medical, Inc. · 2006
  5. This deviceK111381 Medi-Sis Syringe Infusion SystemAcacia, Inc. · 2012

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K904518Volumetric Infusion PumpKendall Mcgaw Laboratories, Inc.199037
−3K994375Horizon LightB.Braun Medical, Inc.2000Class I
−2K022575Perfusor Compact with FM SystemB.Braun Medical, Inc.2002—
−1K062699Perfusor Space Infusion Syringe Pump SystemB.Braun Medical, Inc.2006—
0 (this device)K111381Medi-Sis Syringe Infusion SystemAcacia, Inc.2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199010
199420
199541
199610
199710
199810
199910
200211
200310
FIG. 1 — Lineage of K111381, 1990–2012Source: 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.

3 devices in this family have a Class I recall. 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 LZH device

  1. #1 K253558 Luminoah FLOW™ Enteral Nutrition Systemscore 13.0 · 7 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? (4)

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
*K953028Titan Driver 60CC, 30 Minute Administration Set
Summary page 1
…IS Syringe Infusion System is substantially equivalent in intended use, principle of operation and technological characteristics to the Medi-SIS Syringe Infusion System (K953028, K<954059, K<9721 73), and is substantially equivalent in intended use with the B. Braun Perfusor Space Infusion Syringe Pump Sys…
I-Flow Corp.1995—
*K954059Titan 20 CC Driver
Summary page 1
…fusion Pump DEVICE CLASSIFICATION: Class 11 PRODUCT CODE FRN, LZH PREDICATE DEVICES: Medi-SIS Syringe Infusion System (K<953028, K<954059, K972173) B. Braun Perfusor Space Infusion Syringe Pump System (K06…
I-Flow Corp.1995—
*K972173Medi-Sis Syringe Infusion System
Summary page 1
…ump DEVICE CLASSIFICATION: Class 11 PRODUCT CODE FRN, LZH PREDICATE DEVICES: Medi-SIS Syringe Infusion System (K<953028, K<954059, K972173) B. Braun Perfusor Space Infusion Syringe Pump System (K062699) P…
I-Flow Corp.1997—
*K062699Perfusor Space Infusion Syringe Pump System
Summary page 1
…Syringe Infusion System (K<953028, K<954059, K972173) B. Braun Perfusor Space Infusion Syringe Pump System (K062699) Purpose The purpose of this submission is to add the delivery of enteral fluids through clinically accepted routed of administ…
B.Braun Medical, Inc.2006—

Also cleared against K953028: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (3 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K023264Medley Syringe Pump Module System, Model 8110Alaris Medical Systems, Inc. · 2002 · 2 generations back · ◆ in the 2002 ancestors bar of FIG. 11 Class I recall
  • K994375Horizon LightB.Braun Medical, Inc. · 2000 · 3 generations back · ◆ on the line of descent in FIG. 11 Class I recall
  • K950419The Imed Orion Infusion Pump and Administration SetsImed Corp. · 1995 · 3 generations back · ◆ in the 1995 ancestors bar of FIG. 14 Class I recalls

What does this lineage say?

  • The line of descent spans 22 years and passes through 3 companies; a new generation was cleared every 5.2 years on median.
  • 7 of the 18 ancestors have a recall of any class; 3 have a Class I recall.
  • 1 other device also cites its predicate K953028.

How does its category compare?

All LZH devices

LZH Pump, Infusion, Enteral: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · LZH

1in 2023

2012: 12014: 22015: 12016: 12020: 12022: 22023: 12026 (partial year): 1
2007high 2 (2014) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LZH

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

Recalls per year · LZH

2in 2020

2007: 22008: 32009: 12011: 12012: 22020: 2
2007high 3 (2008) · low 0 (2010)2026

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

Adverse event reports per year · LZH

376in 2025

2007: 1,1502008: 8582009: 1242010: 2202011: 2742012: 3982013: 3492014: 1192015: 832016: 1,2482017: 2,6202018: 1,6522019: 7422020: 1,4602021: 1,2182022: 5262023: 2842024: 3192025: 376
2007high 2,620 (2017) · low 83 (2015)2025

MAUDE reports naming product code LZH, 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
20070—21,150
20080—3858
20090—1124
20100—0220
20110—1274
20121—2398
20130—0349
20142—0119
20151—083
20161—01,248
20170—02,620
20180—01,652
20190—0742
20201—21,460
20210—01,218
20222—0526
20231—0284
20240—0319
20250—0376
20261—0—

What is it indicated for?

The Medi-SIS Syringe Infusion System is indicated for the delivery of enteral fluids through clinically accepted routes of administration.

The Medi-SIS Administration Extension Set is intended for single patient use only.

The Medi-SIS Syringe Driver can be reused up to 5,000 times

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K111381: Medi-Sis Syringe Infusion System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K111381

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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