# K120490: Quick Sampler Holder

- Pathway: 510(k) (Traditional)
- Applicant: Nipro Medical Corporation
- Decided: Dec 27, 2012 after 314 days
- Product code: JKA (Tubes, Vials, Systems, Serum Separators, Blood Collection)
- Device class: 2
- Regulation: 21 CFR 862.1675
- Recalls of this device: none
- Data: FDA decisions to Oct 25, 2026; recalls to Oct 12, 2026

## Lineage
Longest line of descent: 3 generations back to K861152 (1986). 4 ancestors in all.
No later device cites it as a predicate yet.
0 of 5 devices in its family (counting itself) have a Class I recall.

## Predicates on the family tree (from the FDA summary)
- K021941: Samplok Luer Kit, Itl Corporation Pty, Ltd. (2002) Summary page 1.

## Indications for use
The Quick Sampler Holder is intended to be used as a part of vacuum blood collection equipment for the collection of blood samples for various types of blood tests

Source page: https://510kreport.com/device/K120490
Methodology: https://510kreport.com/methodology