510(k) Report

510(k) · Cleared

Cleared

THS Instrument Tray

K120947510(k) TraditionalCleared Oct 17, 2012202-day reviewClass II21 CFR 880.6850

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

Hologic, Inc. · KCT Sterilization Wrap Containers, Trays, Cassettes & Other Accessories

Cleared on Oct 17, 2012 as substantially equivalent to K012105 (Symmetry Medical, Inc., 2002) and 1 other predicate after a 202-day review. Its family tree reaches back 5 generations to 1984. 30 later devices descend from it.

Decided
Oct 17, 2012
Review
202 days
Class
Class II
Product code
KCT
Recalls
None
Predicates
2

Its longest line of descent runs back 5 generations to K844002 (1984). 9 ancestors in all. 30 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor2001: 1 other ancestor1994: 1 other ancestor1997: 1 other ancestor2016: 1 descendant cleared2019: 6 descendants cleared2018: 4 descendants cleared2017: 1 descendant cleared2020: 2 descendants cleared2021: 5 descendants cleared2022: 2 descendants cleared2025: 1 descendant cleared2023: 4 descendants cleared2026: 3 descendants cleared2024: 1 descendant clearedK844002 · HU-Friedy Ims Cassette System · Hu-Friedy Mfg. Co., Inc. · 1984K980065 · C/T Med-Systems Cassette System · C/T Med System, Ltd. · 1998K990761 · Tuttnauer Mini Container Cassette, Tuttnauer Standard Case Cassette · Tuttnauer U.S.A Co, Ltd. · 1999K012105 · Polyvac Surgical Instrument Delivery System · Symmetry Medical, Inc. · 2002K040223 · Polyvac Instrument Delivery System · Symmetry Medical USA, Inc. · 200419801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 3 other ancestors3 generations back: 1 other ancestor 1 generation forward: 1 descendant2 generations forward: 4 descendants3 generations forward: 5 descendants4 generations forward: 11 descendants5 generations forward: 6 descendants6 generations forward: 3 descendants K040223 · Polyvac Instrument Delivery System · Symmetry Medical USA, Inc. · 2004K012105 · Polyvac Surgical Instrument Delivery System · Symmetry Medical, Inc. · 2002K990761 · Tuttnauer Mini Container Cassette, Tuttnauer Standard Case Cassette · Tuttnauer U.S.A Co, Ltd. · 1999K980065 · C/T Med-Systems Cassette System · C/T Med System, Ltd. · 1998K844002 · HU-Friedy Ims Cassette System · Hu-Friedy Mfg. Co., Inc. · 1984−50+5
  1. Root · 5 generations backK844002 HU-Friedy Ims Cassette SystemHu-Friedy Mfg. Co., Inc. · 1984
  2. 4 generations backK980065 C/T Med-Systems Cassette SystemC/T Med System, Ltd. · 1998
  3. 3 generations backK990761 Tuttnauer Mini Container Cassette, Tuttnauer Standard Case CassetteTuttnauer U.S.A Co, Ltd. · 1999
  4. 2 generations backK012105 Polyvac Surgical Instrument Delivery SystemSymmetry Medical, Inc. · 2002
  5. 1 generation backK040223 Polyvac Instrument Delivery SystemSymmetry Medical USA, Inc. · 2004
  6. This deviceK120947 THS Instrument TrayHologic, Inc. · 2012
  7. Descendant · cites it directly · 29 of its ownK152241 Medtronic Transportation/Sterilization CassettesMedtronic Sofamor Danek USA, Inc. · 2016
  8. Descendant · 2 generations on · 18 of its ownK163600 Kit Boxes and Kit PlatesNobel Biocare AB · 2018
  9. Descendant · 3 generations on · 11 of its ownK180791 Straumann BLX Surgical CassetteInstitut Straumann AG · 2018
  10. Descendant · 4 generations on · 5 of its ownK212281 Surgical TraysDentsply Sirona, Inc. · 2022
  11. Descendant · 3 generations on · 5 of its ownK181075 PureSet TrayNobel Biocare AB · 2018

Showing 5 of 30 descendants. See all descendants

Descendants cleared per year

2016: 12017: 12018: 42019: 62020: 22021: 52022: 22023: 42024: 12025: 12026: 3
2016high 6 (2019) · low 1 (2016)2026

Most influential descendants

Showing 5 of 30 · See all
  • K152241Medtronic Transportation/Sterilization CassettesMedtronic Sofamor Danek USA, Inc. · 2016 · cites it directly29descendants
  • K163600Kit Boxes and Kit PlatesNobel Biocare AB · 2018 · 2 generations on18descendants
  • K180791Straumann BLX Surgical CassetteInstitut Straumann AG · 2018 · 3 generations on11descendants
  • K212281Surgical TraysDentsply Sirona, Inc. · 2022 · 4 generations on5descendants
  • K181075PureSet TrayNobel Biocare AB · 2018 · 3 generations on5descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K844002HU-Friedy Ims Cassette SystemHu-Friedy Mfg. Co., Inc.1984—
−4K980065C/T Med-Systems Cassette SystemC/T Med System, Ltd.1998—
−3K990761Tuttnauer Mini Container Cassette, Tuttnauer Standard Case CassetteTuttnauer U.S.A Co, Ltd.1999—
−2K012105Polyvac Surgical Instrument Delivery SystemSymmetry Medical, Inc.2002—
−1K040223Polyvac Instrument Delivery SystemSymmetry Medical USA, Inc.2004—
0 (this device)K120947THS Instrument TrayHologic, Inc.2012—
+1K152241Medtronic Transportation/Sterilization CassettesMedtronic Sofamor Danek USA, Inc.2016—
+2K163600Kit Boxes and Kit PlatesNobel Biocare AB2018—
+3K180791Straumann BLX Surgical CassetteInstitut Straumann AG2018—
+4K212281Surgical TraysDentsply Sirona, Inc.2022—
+3K181075PureSet TrayNobel Biocare AB2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199710
200110
200210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201610
201710
201840
201960
202020
202150
202220
202340
202410
202510
202630
FIG. 1 — Lineage of K120947, 1984–2026Source: 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.

Planning a device in KCT? 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 KCT device

  1. #1 K214041 Aesculap AICON Containerscore 18.1 · 6 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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
*K012105Polyvac Surgical Instrument Delivery System
Summary page 1
…redicate Device: Tradenamne: PolyVac Surgical Instrument Delivery System Submitter / 510(k) Holder: Symmetry Medical, Inc. 510(k) if's: K012105 and K040223 4. Device Description: The THS Sterilization Tray will secure the reusable TUS components during…
Symmetry Medical, Inc.2002—
*K040223Polyvac Instrument Delivery System
Summary page 1
…ice: Tradenamne: PolyVac Surgical Instrument Delivery System Submitter / 510(k) Holder: Symmetry Medical, Inc. 510(k) if's: K012105 and K040223 4. Device Description: The THS Sterilization Tray will secure the reusable TUS components during autoclave…
Symmetry Medical USA, Inc.2004—

Also cleared against K012105: 20 other devices →

What descends from it? (30)

See all 30

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

NumberDeviceApplicantDecidedDescendants
K152241Medtronic Transportation/Sterilization CassettesMedtronic Sofamor Danek USA, Inc.201629

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 28 years and passes through 6 companies; a new generation was cleared every 3.1 years on median.
  • None of the 9 ancestors has a recall.
  • Of its descendants, K152241 (Medtronic Sofamor Danek USA, Inc., 2016) has gone furthest, with 29 descendants of its own.
  • 20 other devices also cite its predicate K012105.

How does its category compare?

All KCT devices

KCT Sterilization Wrap Containers, Trays, Cassettes & Other Accessories: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · KCT

11in 2025

2007: 32008: 62009: 62010: 122011: 62012: 102013: 82014: 112015: 152016: 122017: 102018: 152019: 182020: 142021: 182022: 112023: 102024: 82025: 112026 (partial year): 9
2007high 18 (2019) · low 3 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KCT

205in 2025

2007: 199 days median2008: 182 days median2009: 89 days median2010: 202 days median2011: 117 days median2012: 236 days median2013: 131 days median2014: 169 days median2015: 151 days median2016: 182 days median2017: 211 days median2018: 192 days median2019: 187 days median2020: 134 days median2021: 185 days median2022: 137 days median2023: 94 days median2024: 106 days median2025: 205 days median2026 (partial year): 122 days median
2007high 236 (2012) · low 89 (2009)2026

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

Recalls per year · KCT

17in 2022

2010: 12011: 22013: 12014: 12016: 32017: 12021: 12022: 17
2007high 17 (2022) · low 0 (2007)2026

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

Adverse event reports per year · KCT

50in 2025

2007: 22008: 82009: 52010: 32011: 32012: 22013: 62014: 52015: 62016: 162017: 32018: 222019: 152020: 662021: 262022: 82023: 302024: 182025: 50
2007high 66 (2020) · low 2 (2007)2025

MAUDE reports naming product code KCT, 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
2007319902
2008618208
200968905
20101220213
2011611723
20121023602
2013813116
20141116915
20151515106
201612182316
20171021113
201815192022
201918187015
202014134066
202118185126
202211137178
20231094030
20248106018
202511205050
202691220—

What is it indicated for?

The THS Sterilization Tray is used to enclose, protect, and organize the THS scopes, diagnostic sheath, and associated accessory components, and to facilitate the sterilization process by allowing sterilant penetration and air removal when used in conjunction with an approved sterilization wrap. The THS Instrument tray is not designed to maintain sterility by itself, but when used in conjunction with an approved sterilization wrap sterility of the…

Read the full statement (130 words)

The THS Sterilization Tray is used to enclose, protect, and organize the THS scopes, diagnostic sheath, and associated accessory components, and to facilitate the sterilization process by allowing sterilant penetration and air removal when used in conjunction with an approved sterilization wrap.

The THS Instrument tray is not designed to maintain sterility by itself, but when used in conjunction with an approved sterilization wrap sterility of the enclosed medical device is maintained based on the specific time that the maintenance of sterility for that specific wrap as cleared by the FDA.

The THS Sterilization Tray is to be sterilized using one of the following cycles:

Steam Autoclave Wrapped

Pre-Vacuum Parameters: 270'F for 4 minutes

Pre-Vacuum Dry Time: 30 minutes

Gravity Parameters: 250'F for 30 minutes

Gravity Dry Time: 30 minutes

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K120947: THS Instrument Tray.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K120947

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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