510(k) Report

510(k) · Cleared

Cleared

EZ Vein Inflatable Tourniquet

K112874510(k) TraditionalCleared Oct 17, 201117-day reviewClass I21 CFR 878.5910

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

Dominion Medical Devices, LLC · KCY Tourniquet, Pneumatic

Cleared on Oct 17, 2011 as substantially equivalent to K875092 (Degania Silicone, Ltd., 1988) and 1 other predicate after a 17-day review. Its family tree reaches back 1 generation to 1988. 1 later device descends from it.

Decided
Oct 17, 2011
Review
17 days
Class
Class I
Product code
KCY
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K875092 (1988). 2 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1995: 1 other ancestor2017: 1 descendant clearedK875092 · Degania Silicone Tourniquet · Degania Silicone, Ltd. · 19881990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 1 descendant K875092 · Degania Silicone Tourniquet · Degania Silicone, Ltd. · 19880
  1. Root · 1 generation backK875092 Degania Silicone TourniquetDegania Silicone, Ltd. · 1988
  2. This deviceK112874 EZ Vein Inflatable TourniquetDominion Medical Devices, LLC · 2011
  3. Descendant · cites it directly · 0 of its ownK162365 T-CuffTerumobct, Inc. · 2017

Most influential descendants

Showing 1 of 1 · See all
  • K162365T-CuffTerumobct, Inc. · 2017 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K875092Degania Silicone TourniquetDegania Silicone, Ltd.1988—
0 (this device)K112874EZ Vein Inflatable TourniquetDominion Medical Devices, LLC2011—
+1K162365T-CuffTerumobct, Inc.2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201710
FIG. 1 — Lineage of K112874, 1988–2017Source: 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 KCY? 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 KCY device

  1. #1 K202919 ATS 5000 Automatic Tourniquet Instrumentscore -0.0 · 3 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
*K875092Degania Silicone Tourniquet
Summary page 1
…QUIVALENT TO: The EZ Vein TI inflatable tourniquet is substantially equivalent to both the non-pneumatic tourniquet such as the Degania Silicone Tourniquet (K875092) and a pneumatic accessory device, like the DeRoyal's Pneumatic Tourniquet Cuff (K953953). The similarities are the inflatable cu…
Degania Silicone, Ltd.1988—
*K953953Deroyal Industries, Inc. Pneumatic Tourniquet Cuff
Summary page 1
…nt to both the non-pneumatic tourniquet such as the Degania Silicone Tourniquet (K875092) and a pneumatic accessory device, like the DeRoyal's Pneumatic Tourniquet Cuff (K953953). The similarities are the inflatable cuff technology. DESCRIPTION of the DEVICE: The EZ Vein inflatable secondary tourniquet is…
Deroyal Industries, Inc.1995—

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K162365T-CuffTerumobct, Inc.20170

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.
  • Of its descendants, K162365 (Terumobct, Inc., 2017) has gone furthest, with 0 descendants of its own.

How does its category compare?

All KCY devices

KCY Tourniquet, Pneumatic: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · KCY

1in 2021

2007: 12011: 12013: 12017: 12021: 1
2007high 1 (2007) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KCY

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

Recalls per year · KCY

67so far in 2026, the most since 2007

2008: 72010: 32011: 12012: 12013: 12015: 22016: 12017: 22019: 22022: 12026 (partial year): 67
2007high 67 (2026) · low 0 (2007)2026

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

Adverse event reports per year · KCY

118in 2025

2007: 192008: 332009: 462010: 472011: 612012: 672013: 552014: 632015: 432016: 722017: 1102018: 1452019: 1292020: 1192021: 1302022: 902023: 3472024: 1072025: 118
2007high 347 (2023) · low 19 (2007)2025

MAUDE reports naming product code KCY, 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—019
20080—733
20090—046
20100—347
20111—161
20120—167
20131—155
20140—063
20150—243
20160—172
20171—2110
20180—0145
20190—2129
20200—0119
20211—0130
20220—190
20230—0347
20240—0107
20250—0118
20260—67—

What is it indicated for?

The EZvein inflatable secondary tourniquet is used in conjunction with a non-pneumatic tourniquet, to enhance the presentation of veins for access (blood draw or IV administration.)

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K112874: EZ Vein Inflatable Tourniquet.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K112874

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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