510(k) Report

510(k) · Cleared

Recalled · Class I · 2023

Next Gen Emg Endotracheal Tube

K112686510(k) TraditionalCleared Jun 27, 2012286-day reviewClass II21 CFR 874.1820Recalls 3 (1 Class I)

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

Medtronic Xomed, Inc. · ETN Stimulator, Nerve

Cleared on Jun 27, 2012 as substantially equivalent to K094054 (Nuvasive, Inc., 2010) and 1 other predicate after a 286-day review. Its family tree reaches back 5 generations to 1985. 3 of the 16 devices in its family, counting itself, have a Class I recall. 1 later device descends from it. It has been recalled 3 times, including a Class I recall.

Decided
Jun 27, 2012
Review
286 days
Class
Class II
Product code
ETN
Recalls
3 (1 Class I)
Predicates
2

Its longest line of descent runs back 5 generations to K851426 (1985). 14 ancestors in all. 1 later device descends from it, 1 citing it directly. 3 of the 16 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 1993: 1 other ancestor, 1 with a Class I recall12009: 1 other ancestor2005: 1 other ancestor, 1 with a Class I recall12001: 1 other ancestor1996: 1 other ancestor1994: 1 other ancestor1987: 1 other ancestor1995: 1 other ancestor1989: 1 other ancestor2026: 1 descendant clearedK851426 · Accucom Cardiac Output Monitor · Lawrence Medical Systems, Inc. · 1985K972798 · Dynemo 3000 · Sometec, Inc. · 1998×2: 2 generations cleared close together, K021174 (2003), K032491 (2003) K094054 · Modifcation to: Nuvasive Neurovision Emg Endotracheal Tube · Nuvasive, Inc. · 20101990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor, 1 with a Class I recall12 generations back: 2 other ancestors, 1 with a Class I recall13 generations back: 1 other ancestor4 generations back: 3 other ancestors5 generations back: 2 other ancestors 1 generation forward: 1 descendant K094054 · Modifcation to: Nuvasive Neurovision Emg Endotracheal Tube · Nuvasive, Inc. · 2010K032491 · Ecom CV4 Endotracheal Cardiac Output Monitor · Imagyn Medical Technologies, Inc. · 2003K021174 · Ecom Endotrachial Cardiac Output Monitor · Imagyn Surgical · 2003K972798 · Dynemo 3000 · Sometec, Inc. · 1998K851426 · Accucom Cardiac Output Monitor · Lawrence Medical Systems, Inc. · 1985−50
  1. Root · 5 generations backK851426 Accucom Cardiac Output MonitorLawrence Medical Systems, Inc. · 1985
  2. 4 generations backK972798 Dynemo 3000Sometec, Inc. · 1998
  3. 3 generations backK021174 Ecom Endotrachial Cardiac Output MonitorImagyn Surgical · 2003
  4. 2 generations backK032491 Ecom CV4 Endotracheal Cardiac Output MonitorImagyn Medical Technologies, Inc. · 2003
  5. 1 generation backK094054 Modifcation to: Nuvasive Neurovision Emg Endotracheal TubeNuvasive, Inc. · 2010
  6. This deviceK112686 Next Gen Emg Endotracheal TubeMedtronic Xomed, Inc. · 2012
  7. Descendant · cites it directly · 0 of its ownK251672 NIM Essence™ EMG Endotracheal Tube (NIMEID060); NIM Essence™ EMG…Medtronic Xomed, Inc. · 2026

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K251672NIM Essence™ EMG Endotracheal Tube (NIMEID060); NIM Essence™ EMG Endotracheal Tube…Medtronic Xomed, Inc. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K851426Accucom Cardiac Output MonitorLawrence Medical Systems, Inc.1985—
−4K972798Dynemo 3000Sometec, Inc.1998—
−3K021174Ecom Endotrachial Cardiac Output MonitorImagyn Surgical2003—
−2K032491Ecom CV4 Endotracheal Cardiac Output MonitorImagyn Medical Technologies, Inc.2003—
−1K094054Modifcation to: Nuvasive Neurovision Emg Endotracheal TubeNuvasive, Inc.2010—
0 (this device)K112686Next Gen Emg Endotracheal TubeMedtronic Xomed, Inc.2012—
+1K251672NIM Essence™ EMG Endotracheal Tube (NIMEID060); NIM Essence™ EMG Endotracheal…Medtronic Xomed, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
198910
199311
199410
199510
199610
200110
200511
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K112686, 1985–2026Source: 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 ETN device

  1. #1 K251672 NIM Essence™ EMG Endotracheal Tube…score 12.3 · 6 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? (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
*K094054Modifcation to: Nuvasive Neurovision Emg Endotracheal Tube
Summary page 1
…Surgical nerve stimulator/locator (21 CFR 874.1820, Product Code ETN, Class 11) Premarket Notification: K094054 Trade Name: Xomned EMG Endotracheal Tube Common/Usual Name: EMG El Tube…
Nuvasive, Inc.2010—
*K925640Xomed-Treace Emg Endotracheal Tubeen
Summary page 1
…Surgical nerve stimulator/locator (21 CFR 874.1820, Product Code ETN, Class 11) Premarket Notification: K925640 G. Purpose of Submission: Design change in the material of the tube from silicone in the predicate device Xomed EMG Tube to PVC…
Xomed-Treace, Inc.1993Class I

Also cleared against K094054: 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
K251672NIM Essence™ EMG Endotracheal Tube (NIMEID060); NIM Essence™ EMG Endotracheal Tube…Medtronic Xomed, Inc.20260

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

Recalls of this device

DateClassRecallRoot causeReason
Nov 7, 2023Class IIZ-0696-2024Under Investigation by firmFirm received reports of customers experiencing noise from the NIM System, lead-off or high impedance issues, or loss of/intermittent nerve monitoring,
Dec 22, 2021Class IIZ-0743-2022Process controlThere is potential for multiple issues due to a manufacturing nonconformity.
Mar 4, 2013Class IZ-1420-2013Use errorIn March 2013, Medtronic issued a recall of the NIM TriVantage EMG Endotracheal Tube due to cuff leakage in the intraoperative cuff deflation which then requires re-inflation or replacement of the deflated tube in order to ensure the…

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.

  • K925640Xomed-Treace Emg Endotracheal TubeenXomed-Treace, Inc. · 1993 · Direct predicate · ◆ in the 1993 ancestors bar of FIG. 11 Class I recall
  • K050162Contact Emg Rotatable Endotracheal TubeMedtronic Xomed, Inc. · 2005 · 2 generations back · ◆ in the 2005 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 27 years and passes through 6 companies; a new generation was cleared every 5.2 years on median.
  • 4 of the 14 ancestors have a recall of any class; 2 have a Class I recall.
  • Of its descendants, K251672 (Medtronic Xomed, Inc., 2026) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K094054.

How does its category compare?

All ETN devices

ETN Stimulator, Nerve: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · ETN

1in 2025

2007: 22008: 22009: 52010: 32011: 92012: 72013: 12014: 22015: 12016: 22020: 12021: 12022: 22023: 52024: 22025: 12026 (partial year): 2
2007high 9 (2011) · low 0 (2017)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ETN

98in 2023

2009: 115 days median2010: 168 days median2011: 115 days median2012: 179 days median2023: 98 days median
2007high 179 (2012) · low 98 (2023)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · ETN

1in 2023

2008: 12010: 12016: 12019: 22020: 12021: 12023: 1
2007high 2 (2019) · low 0 (2007)2026

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

Adverse event reports per year · ETN

1,145in 2025

2007: 52008: 52009: 222010: 262011: 552012: 1872013: 2702014: 1372015: 2022016: 1452017: 1172018: 2502019: 3142020: 2382021: 1972022: 2472023: 3902024: 7482025: 1,145
2007high 1,145 (2025) · low 5 (2007)2025

MAUDE reports naming product code ETN, 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
20072—05
20082—15
20095115022
20103168126
20119115055
201271790187
20131—0270
20142—0137
20151—0202
20162—1145
20170—0117
20180—0250
20190—2314
20201—1238
20211—1197
20222—0247
20235981390
20242—0748
20251—01,145
20262—0—

What is it indicated for?

The Next Generation EMG Endotracheal Tube is intended for use as a means of providing both an open airway for patient ventilation and for intraoperative monitoring of EMG activity of the laryngeal musculature when connected to an appropriate EMG monitor.

The EMG Tube is indicated for use when continuous monitoring of the integrity of the nerves supplying the laryngeal musculature is required during surgical procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K112686: Next Gen Emg Endotracheal Tube.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K112686

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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