510(k) Report

510(k) · Cleared

Cleared

Pericam Psi

K120884510(k) TraditionalCleared Jul 3, 2012102-day reviewClass II21 CFR 870.2120

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

Perimed AB · DPT Probe, Blood-Flow, Extravascular

Cleared on Jul 3, 2012 as substantially equivalent to K920844 (Lisca Development AB, 1992) and 1 other predicate after a 102-day review. Its family tree reaches back 4 generations to 1991. 3 later devices descend from it.

Decided
Jul 3, 2012
Review
102 days
Class
Class II
Product code
DPT
Recalls
None
Predicates
2

Its longest line of descent runs back 4 generations to K905232 (1991). 5 ancestors in all. 3 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1992: 1 other ancestor2019: 1 descendant cleared2018: 1 descendant cleared2020: 1 descendant clearedK905232 · Moor Laser Blood Flow Monitor MBF3 · Moor Instruments, Ltd. · 1991K980383 · Mooorldi Laser Doppler Imager · Moor Instruments, Ltd. · 1998K032841 · Moorldi Infrared Laser Doppler Imager, Model MOORLD12-IR · Moor Instruments, Ltd. · 2003K063586 · Moorflpi Full-Field Laser Perfusion Imager · Moor Instruments, Ltd. · 20071990200020102020
  1. Root · 4 generations backK905232 Moor Laser Blood Flow Monitor MBF3Moor Instruments, Ltd. · 1991
  2. 3 generations backK980383 Mooorldi Laser Doppler ImagerMoor Instruments, Ltd. · 1998
  3. 2 generations backK032841 Moorldi Infrared Laser Doppler Imager, Model MOORLD12-IRMoor Instruments, Ltd. · 2003
  4. 1 generation backK063586 Moorflpi Full-Field Laser Perfusion ImagerMoor Instruments, Ltd. · 2007
  5. This deviceK120884 Pericam PsiPerimed AB · 2012
  6. Descendant · cites it directly · 1 of its ownK182494 FlowMet-RLaser Associated Sciences, Inc. · 2019
  7. Descendant · 2 generations on · 0 of its ownK192966 FlowMetLaser Associated Sciences, Inc. · 2020
  8. Descendant · cites it directly · 0 of its ownK181269 iCertaintyRfpi · 2018

Most influential descendants

Showing 3 of 3 · See all
  • K182494FlowMet-RLaser Associated Sciences, Inc. · 2019 · cites it directly1descendant
  • K192966FlowMetLaser Associated Sciences, Inc. · 2020 · 2 generations on0descendants
  • K181269iCertaintyRfpi · 2018 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K905232Moor Laser Blood Flow Monitor MBF3Moor Instruments, Ltd.1991—
−3K980383Mooorldi Laser Doppler ImagerMoor Instruments, Ltd.1998—
−2K032841Moorldi Infrared Laser Doppler Imager, Model MOORLD12-IRMoor Instruments, Ltd.2003—
−1K063586Moorflpi Full-Field Laser Perfusion ImagerMoor Instruments, Ltd.2007—
0 (this device)K120884Pericam PsiPerimed AB2012—
+1K182494FlowMet-RLaser Associated Sciences, Inc.2019—
+2K192966FlowMetLaser Associated Sciences, Inc.2020—
+1K181269iCertaintyRfpi2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201810
201910
202010
FIG. 1 — Lineage of K120884, 1991–2020Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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 DPT? 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 DPT device

  1. #1 K233076 Laser Speckle Imaging System (RFLSI CZW)score 8.6 · 5 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
*K920844Pim 1.0 Laser Doppler Perfusion Imager
Summary page 3
…PC-software generates colour-coded flow maps of the tissue perfusion from the contrast images. Comparison to the predicate device K920844, PIM Laser Doppler Perfusion Imager - Laser safety The predicate device, PIM Laser…
Lisca Development AB1992—
*K063586Moorflpi Full-Field Laser Perfusion Imager
Summary page 5
…rding lEG 60825-1:2007. The new device all 'ws fast acquisition rates for larger measurement areas. Comparison to the predicate device K063586, moorFLPI Full Field Laser Perfusion Imager- - Laser safety Both instrument…
Moor Instruments, Ltd.2007—

Also cleared against K920844: 1 other device →

What descends from it? (3)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K182494FlowMet-RLaser Associated Sciences, Inc.20191
K181269iCertaintyRfpi20180

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?

  • The line of descent spans 21 years and passes through 2 companies; a new generation was cleared every 5.6 years on median.
  • None of the 5 ancestors has a recall.
  • Of its descendants, K182494 (Laser Associated Sciences, Inc., 2019) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K920844.

How does its category compare?

All DPT devices

DPT Probe, Blood-Flow, Extravascular: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · DPT

1in 2024

2007: 32009: 12012: 22013: 32014: 32015: 12016: 12017: 12024: 1
2007high 3 (2007) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DPT

201in 2014

2007: 55 days median2013: 108 days median2014: 201 days median
2007high 201 (2014) · low 55 (2007)2026

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

Recalls per year · DPT

22in 2024

2024: 22
2007high 22 (2024) · low 0 (2007)2026

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

Adverse event reports per year · DPT

52in 2025

2007: 52008: 12009: 32010: 32011: 32012: 12014: 52018: 32019: 12020: 32021: 132022: 462023: 212024: 1692025: 52
2007high 169 (2024) · low 0 (2013)2025

MAUDE reports naming product code DPT, 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
200735505
20080—01
20091—03
20100—03
20110—03
20122—01
2013310800
2014320105
20151—00
20161—00
20171—00
20180—03
20190—01
20200—03
20210—013
20220—046
20230—021
20241—22169
20250—052
20260—0—

What is it indicated for?

The PeriCam PSI is intended for non-invasive two-dimensional imaging of

peripheral tissue blood perfusion.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K120884: Pericam Psi.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K120884

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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