510(k) Report

510(k) · Cleared

Cleared

Nmi Picc Iii

K121089510(k) TraditionalCleared Aug 23, 2012135-day reviewClass II21 CFR 880.5970

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

Navilyst Medical, Inc. · LJS Catheter, Intravascular, Therapeutic, Long-Term Greater Than 30 Days

Cleared on Aug 23, 2012 as substantially equivalent to K070002 (Boston Scientific, 2007) and 4 other predicates after a 135-day review. Its family tree reaches back 9 generations to 2000. 3 of the 65 devices in its family, counting itself, have a Class I recall. 23 later devices descend from it.

Decided
Aug 23, 2012
Review
135 days
Class
Class II
Product code
LJS
Recalls
None
Predicates
5

Its longest line of descent runs back 9 generations to K001901 (2000). 41 ancestors in all, the oldest K830256 (1983). 23 later devices descend from it, 6 citing it directly. 3 of the 65 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2009: 3 other ancestors2007: 2 other ancestors2008: 1 other ancestor2006: 3 other ancestors2004: 4 other ancestors2002: 1 other ancestor2001: 4 other ancestors2005: 3 other ancestors2003: 1 other ancestor2000: 2 other ancestors, 1 with a Class I recall11999: 2 other ancestors1997: 2 other ancestors1996: 1 other ancestor1991: 1 other ancestor1983: 1 other ancestor1986: 1 other ancestor, 1 with a Class I recall12018: 1 descendant cleared2013: 4 descendants cleared2014: 3 descendants cleared, 1 with a Class I recall12012: 1 descendant cleared2020: 2 descendants cleared2015: 5 descendants cleared2016: 1 descendant cleared2017: 1 descendant cleared2022: 1 descendant cleared2025: 4 descendants clearedK001901 · Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath Midline Catheter, Model 3134135 · C.R. Bard, Inc. · 2000 · recalledK012902 · Poly Per-Q-Cath Single Lumen Picc Catheter, Model 3143100; Poly Per-Q-Cath Dual Lumen Picc Catheter, Model 3246100 · C.R. Bard, Inc. · 2001K031129 · Poly Per-Q-Cath Picc Catheters; Poly Radpicc · C.R. Bard, Inc. · 2003K033389 · Powerpicc Catheters, Models 3175155, 3175135 · C.R. Bard, Inc. · 2004 · recalled×3: 3 generations cleared close together, K050185 (2005), K051417 (2005), K051991 (2005) K061179 · Powerhickman Long-Term Intravascular Catheter · C.R. Bard, Inc. · 2006K101326 · NMI IC · Navilyst Medical, Inc. · 201019801990200020102020
  1. Root · 9 generations backK001901 Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath…C.R. Bard, Inc. · 2000 · Recalled
  2. 5 generations between
  3. 3 generations backK051991 Powerpicc, Poly Per-Q-Cath, 6 FR TL Poly Per-Q-Cath, Power Hohn and…C.R. Bard, Inc. · 2005
  4. 2 generations backK061179 Powerhickman Long-Term Intravascular CatheterC.R. Bard, Inc. · 2006
  5. 1 generation backK101326 NMI ICNavilyst Medical, Inc. · 2010
  6. This deviceK121089 Nmi Picc IiiNavilyst Medical, Inc. · 2012
  7. Descendant · cites it directly · 12 of its ownK122882 Nmi Hpicc IiiNavilyst Medical, Inc. · 2012
  8. Descendant · cites it directly · 7 of its ownK131942 Nmi Picc Iii Catheter, Nmi Hpicc Iii CatheterNavilyst Medical, Inc. · 2013
  9. Descendant · 2 generations on · 6 of its ownK133264 Nmi Picc IiiNavilyst Medical, Inc. · 2013
  10. Descendant · cites it directly · 5 of its ownK172885 HydroPICCAccess Vascular, Inc. · 2018
  11. Descendant · 2 generations on · 4 of its ownK193015 HydroPICC (PICC-142)Access Vascular, Inc. · 2020 · Recalled
Show all 9 generations
  1. Root · 9 generations backK001901 Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath…C.R. Bard, Inc. · 2000 · Recalled
  2. 8 generations backK012902 Poly Per-Q-Cath Single Lumen Picc Catheter, Model 3143100; Poly…C.R. Bard, Inc. · 2001
  3. 7 generations backK031129 Poly Per-Q-Cath Picc Catheters; Poly RadpiccC.R. Bard, Inc. · 2003
  4. 6 generations backK033389 Powerpicc Catheters, Models 3175155, 3175135C.R. Bard, Inc. · 2004 · Recalled
  5. 5 generations backK050185 Powerhohn and Powerline CathetersC.R. Bard, Inc. · 2005
  6. 4 generations backK051417 6 FR FL Powerhohn and Powerline CatheterC.R. Bard, Inc. · 2005 · Recalled
  7. 3 generations backK051991 Powerpicc, Poly Per-Q-Cath, 6 FR TL Poly Per-Q-Cath, Power Hohn and…C.R. Bard, Inc. · 2005
  8. 2 generations backK061179 Powerhickman Long-Term Intravascular CatheterC.R. Bard, Inc. · 2006
  9. 1 generation backK101326 NMI ICNavilyst Medical, Inc. · 2010
  10. This deviceK121089 Nmi Picc IiiNavilyst Medical, Inc. · 2012

Showing 5 of 23 descendants. See all descendants

Descendants cleared per year

2012: 12013: 42014: 32015: 52016: 12017: 12018: 12020: 22022: 12025: 4
2012high 5 (2015) · low 0 (2019)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 23 · See all
  • K122882Nmi Hpicc IiiNavilyst Medical, Inc. · 2012 · cites it directly12descendants
  • K131942Nmi Picc Iii Catheter, Nmi Hpicc Iii CatheterNavilyst Medical, Inc. · 2013 · cites it directly7descendants
  • K133264Nmi Picc IiiNavilyst Medical, Inc. · 2013 · 2 generations on6descendants
  • K172885HydroPICCAccess Vascular, Inc. · 2018 · cites it directly5descendants
  • K193015HydroPICC (PICC-142)Access Vascular, Inc. · 2020 · 2 generations on4descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K001901Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath Midline…C.R. Bard, Inc.20002
−8K012902Poly Per-Q-Cath Single Lumen Picc Catheter, Model 3143100; Poly Per-Q-Cath…C.R. Bard, Inc.2001—
−7K031129Poly Per-Q-Cath Picc Catheters; Poly RadpiccC.R. Bard, Inc.2003—
−6K033389Powerpicc Catheters, Models 3175155, 3175135C.R. Bard, Inc.20041
−5K050185Powerhohn and Powerline CathetersC.R. Bard, Inc.2005—
−4K0514176 FR FL Powerhohn and Powerline CatheterC.R. Bard, Inc.20051
−3K051991Powerpicc, Poly Per-Q-Cath, 6 FR TL Poly Per-Q-Cath, Power Hohn and Power LineC.R. Bard, Inc.2005—
−2K061179Powerhickman Long-Term Intravascular CatheterC.R. Bard, Inc.2006—
−1K101326NMI ICNavilyst Medical, Inc.2010—
0 (this device)K121089Nmi Picc IiiNavilyst Medical, Inc.2012—
+1K122882Nmi Hpicc IiiNavilyst Medical, Inc.2012—
+1K131942Nmi Picc Iii Catheter, Nmi Hpicc Iii CatheterNavilyst Medical, Inc.2013—
+2K133264Nmi Picc IiiNavilyst Medical, Inc.2013—
+1K172885HydroPICCAccess Vascular, Inc.2018—
+2K193015HydroPICC (PICC-142)Access Vascular, Inc.20204

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198310
198611
199110
199610
199720
199920
200021
200140
200210
200310
200440
200530
200630
200720
200810
200930

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201340
201431
201550
201610
201710
201810
202020
202210
202540
FIG. 1 — Lineage of K121089, 2000–2025Source: 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.

3 devices in this family have a Class I recall. 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 LJS device

  1. #1 K241910 Neonav ECG Tip Location Systemscore 18.0 · 12 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? (5)

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
*K070002Boston Scientific Peripherally Inserted Central Catheter
Summary page 1
…Short and Long-Term Intravascular Catheter 2ICFR§880.5970, Class II Premrke Notfictions):K070002, K101326, K091261, K093366, Premrke Notfictions):K083763 E. Device Description The NMI P1CC I…
Boston Scientific2007—
*K101326NMI IC
Summary page 1
…Short and Long-Term Intravascular Catheter 2ICFR§880.5970, Class II Premrke Notfictions):K070002, K101326, K091261, K093366, Premrke Notfictions):K083763 E. Device Description The NMI P1CC III are fl…
Navilyst Medical, Inc.2010—
*K091261Nmi Picc
Summary page 1
…and Long-Term Intravascular Catheter 2ICFR§880.5970, Class II Premrke Notfictions):K070002, K101326, K091261, K093366, Premrke Notfictions):K083763 E. Device Description The NMI P1CC III are flexible ra…
Navilyst Medical, Inc.20095
*K093366Nmi Picc II
Summary page 1
…-Term Intravascular Catheter 2ICFR§880.5970, Class II Premrke Notfictions):K070002, K101326, K091261, K093366, Premrke Notfictions):K083763 E. Device Description The NMI P1CC III are flexible radiopaque…
Navilyst Medical, Inc.2009—
*K083763Zeus CT Picc 4 FR and 5 FR Single and Dual Lumen
Summary page 1
…2ICFR§880.5970, Class II Premrke Notfictions):K070002, K101326, K091261, K093366, Premrke Notfictions):K083763 E. Device Description The NMI P1CC III are flexible radiopaque catheters with suture wing for catheter securem…
R4 Vascular, Inc.2009—

Also cleared against K070002: 6 other devices →

What descends from it? (23)

See all 23

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

NumberDeviceApplicantDecidedDescendants
K122882Nmi Hpicc IiiNavilyst Medical, Inc.201212
K131942Nmi Picc Iii Catheter, Nmi Hpicc Iii CatheterNavilyst Medical, Inc.20137
K172885HydroPICCAccess Vascular, Inc.20185
K131038Nmi Picc Maximal Barrier Nursing KitsNavilyst Medical, Inc.20133
K131694Nmi Port II CatheterNavilyst Medical, Inc.20132
K131260Nmi Dialysis Catheter Class INavilyst Medical, Inc.20140

Has anything in its family been recalled? (3 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K993691Arrowg +Ard Blue Plus Antimicrobial Multi-Lumen Central Venous CatheterArrow Intl., Inc. · 2000 · 4 generations back · ◆ in the 2000 ancestors bar of FIG. 11 Class I recall
  • K862056[Central Venous][Multi-Lumen] Catheter W/Flex TipArrow Intl., Inc. · 1986 · 5 generations back · ◆ in the 1986 ancestors bar of FIG. 11 Class I recall
  • K131260Nmi Dialysis CatheterNavilyst Medical, Inc. · 2014 · Cites it directly · ◆ in the 2014 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 12 years and passes through 2 companies; a new generation was cleared every 12 months on median.
  • 15 of the 41 ancestors have a recall of any class; 2 have a Class I recall.
  • Of its descendants, K122882 (Navilyst Medical, Inc., 2012) has gone furthest, with 12 descendants of its own.
  • 6 other devices also cite its predicate K070002.

How does its category compare?

All LJS devices

LJS Catheter, Intravascular, Therapeutic, Long-Term Greater Than 30 Days: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · LJS

8in 2025

2007: 142008: 42009: 162010: 92011: 62012: 142013: 142014: 82015: 72016: 92017: 72018: 102020: 22021: 32022: 32023: 42024: 12025: 82026 (partial year): 2
2007high 16 (2009) · low 0 (2019)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LJS

171in 2025

2007: 92 days median2008: 97 days median2009: 70 days median2010: 114 days median2011: 55 days median2012: 77 days median2013: 31 days median2014: 47 days median2015: 71 days median2016: 128 days median2017: 101 days median2018: 148 days median2021: 284 days median2022: 177 days median2023: 47 days median2025: 171 days median
2007high 284 (2021) · low 31 (2013)2026

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

Recalls per year · LJS

5in 2023

2008: 12009: 12010: 122011: 42012: 402014: 152015: 22016: 182017: 92018: 32021: 12023: 5, 2 Class I2026 (partial year): 8, 1 Class I
2007high 40 (2012) · low 0 (2007)2026

Class I (3 since 2007) Class II/III not classified

Adverse event reports per year · LJS

4,372in 2025

2007: 3922008: 3692009: 3792010: 4952011: 6962012: 5642013: 6802014: 8422015: 1,3062016: 1,1232017: 2,1002018: 2,3242019: 2,0522020: 2,5392021: 3,0842022: 3,2562023: 2,7992024: 4,2432025: 4,372
2007high 4,372 (2025) · low 369 (2008)2025

MAUDE reports naming product code LJS, 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
200714920392
20084971369
200916701379
2010911412495
20116554696
2012147740564
201314310680
201484715842
201577121,306
20169128181,123
2017710192,100
20181014832,324
20190—02,052
20202—02,539
2021328413,084
2022317703,256
20234475 (2)2,799
20241—04,243
2025817104,372
20262—8 (1)—

What is it indicated for?

NON-VALVED VERSION The NMI PICC III is indicated for short- or long-term peripheral access to the central venous system for intravenous therapy, including but not limited to, the administration of fluids, medications and nutrients, the sampling of blood, for central venous pressure monitoring and for power injection of contrast media. Maximum Power Injection Flow Rate: -4F Single Lumen/55 cm - 3.5 mL/sec -5F Single Lumen/55 cm - 5 mL/sec *5F7 Dual…

Read the full statement (179 words)

NON-VALVED VERSION

The NMI PICC III is indicated for short- or long-term peripheral access to the central venous system for intravenous therapy, including but not limited to, the administration of fluids, medications and nutrients, the sampling of blood, for central venous pressure monitoring and for power injection of contrast media.

Maximum Power Injection Flow Rate:

-4F Single Lumen/55 cm - 3.5 mL/sec

-5F Single Lumen/55 cm - 5 mL/sec

*5F7 Dual Lumen/55 cm - 4 mL/sec

*6F Dual Lumenl5 cm - 5 mL/sec

VALVED VERSION

The NMI P1CC III with PASV Valve Technology is indicated for short- or long-term peripheral access to the central venous system for intravenous therapy, including but not limited to, the administration of fluids, medications and nutrients, the sampling of blood and for power injection of contrast media.

Maximum Power Injection Flow Rate:

-3F Single Lumen/55 cm - I mL/sec

-4F Single Lumen/55 cat - 3.5 mL/sec

*5F Single LumenISS cm- 5 mL/sec

-517 Dual Lumen/55 cm - 4 mL/sec

617 Dual LumenISS cm - 5 mL/sec

*6F Triple Lumen/S 5 cm - 6 mL/sec

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121089: Nmi Picc Iii.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121089

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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