510(k) Report

510(k) · Cleared

Cleared

Faller Trocar

K120130510(k) TraditionalCleared May 21, 2012125-day reviewClass II21 CFR 876.5630

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

Medigroup, Inc. · FJS Catheter, Peritoneal, Long-Term Indwelling

Cleared on May 21, 2012 as substantially equivalent to K910786 (Accurate Surgical Instruments Co., 1991) and 1 other predicate after a 125-day review. Its family tree reaches back 1 generation to 1983.

Decided
May 21, 2012
Review
125 days
Class
Class II
Product code
FJS
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K823331 (1983). 2 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 1991: 1 other ancestorK823331 · PC-204 Tunnelor · Medigroup · 19831980198519901995200020052010
Other ancestors, by generation 1 generation back: 1 other ancestor K823331 · PC-204 Tunnelor · Medigroup · 19830
  1. Root · 1 generation backK823331 PC-204 TunnelorMedigroup · 1983
  2. This deviceK120130 Faller TrocarMedigroup, Inc. · 2012
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K823331PC-204 TunnelorMedigroup1983—
0 (this device)K120130Faller TrocarMedigroup, Inc.2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
FIG. 1 — Lineage of K120130, 1983–2012Source: 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.

Planning a device in FJS? 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 FJS device

  1. #1 K213602 Argyle Peritoneal Dialysis Cathetor and Kit…score 3.0 · 2 generations · no Class I recall
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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
*K910786Trocar (Faller Stylet)
Summary page 1
…Catheter Tunneling Device Product Code: FJS, Accessory Class: I Predicate Devices K910786 Trocar (Faller Stylet) K823331 Tunnelor Tool Product Description The Faller Trocar…
Accurate Surgical Instruments Co.1991—
*K823331PC-204 Tunnelor
Summary page 1
…roduct Code: FJS, Accessory Class: I Predicate Devices K910786 Trocar (Faller Stylet) K823331 Tunnelor Tool Product Description The Faller Trocar is a surgical tool, made of either stainless steel o…
Medigroup1983—

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.

How does its category compare?

All FJS devices

FJS Catheter, Peritoneal, Long-Term Indwelling: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · FJS

1in 2022

2007: 22012: 32013: 12018: 12022: 1
2007high 3 (2012) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FJS

120in 2012

2012: 120 days median
2007high 120 (2012)2026

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

Recalls per year · FJS

1in 2014

2011: 42014: 1
2007high 4 (2011) · low 0 (2007)2026

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

Adverse event reports per year · FJS

140in 2025

2007: 122008: 92009: 752010: 672011: 582012: 372013: 842014: 662015: 612016: 382017: 752018: 1372019: 532020: 942021: 782022: 1022023: 6192024: 1492025: 140
2007high 619 (2023) · low 9 (2008)2025

MAUDE reports naming product code FJS, 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—012
20080—09
20090—075
20100—067
20110—458
20123120037
20131—084
20140—166
20150—061
20160—038
20170—075
20181—0137
20190—053
20200—094
20210—078
20221—0102
20230—0619
20240—0149
20250—0140
20260—0—

What is it indicated for?

The Faller Trocar is used to create an ante-grade subcutaneous tunnel for a peritoneal dialysis catheter from the initial implantation site to the preferred exit-site. It separates the tissue as it leads the catheter through to the skin exit-site.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K120130: Faller Trocar.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K120130

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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