510(k) Report

510(k) · Cleared

Cleared

Terumo Pall AL20X Arterial Filter

K121209510(k) SpecialCleared May 8, 201218-day reviewClass II21 CFR 870.4260

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

Terumo Cardiovascular Systems Corporation · DTM Filter, Blood, Cardiopulmonary Bypass, Arterial Line

Cleared on May 8, 2012 as substantially equivalent to K083834 (Terumo Cardiovascular Systems Corp., 2009) after an 18-day review. Its family tree reaches back 3 generations to 1984.

Decided
May 8, 2012
Review
18 days
Class
Class II
Product code
DTM
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K834380 (1984). No later device cites it as a predicate yet.

  1. Root · 3 generations backK834380 Pall EC Plus FilterPall Biomedical Products Co. · 1984
  2. 2 generations backK032128 Terumo AL8X Arterial Filter with X-CoatingTerumo Cardiovascular Systems Corp. · 2003
  3. 1 generation backK083834 Terumo Pall AL6X Arterial FilterTerumo Cardiovascular Systems Corp. · 2009
  4. This deviceK121209 Terumo Pall AL20X Arterial FilterTerumo Cardiovascular Systems Corporation · 2012
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K834380Pall EC Plus FilterPall Biomedical Products Co.1984—
−2K032128Terumo AL8X Arterial Filter with X-CoatingTerumo Cardiovascular Systems Corp.2003—
−1K083834Terumo Pall AL6X Arterial FilterTerumo Cardiovascular Systems Corp.2009—
0 (this device)K121209Terumo Pall AL20X Arterial FilterTerumo Cardiovascular Systems Corporation2012—
FIG. 1 — Lineage of K121209, 1984–2012Source: 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 DTM? 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 DTM device

  1. #1 K251744 Affinity Pixie™ Arterial Filter with Balance™…score 11.0 · 2 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

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
*K083834Terumo Pall AL6X Arterial Filter
Summary page 1
…s): The device submitted in this 510(k) maintains characteristics that are substantially equivalent to the following devices: Terumo® Pall AL6X Arterial Filter (K083 834) Intended Use: The Terumo® Pall AL2OX Arterial Filter is indicated for use in cardiopulmonary bypass procedures for the removal…
Terumo Cardiovascular Systems Corp.2009—

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?

  • The line of descent spans 28 years and passes through 3 companies; a new generation was cleared every 5.7 years on median.
  • None of the 3 ancestors has a recall.

How does its category compare?

All DTM devices

DTM Filter, Blood, Cardiopulmonary Bypass, Arterial Line: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · DTM

2in 2024

2007: 32008: 12009: 52010: 22011: 12012: 22013: 12023: 12024: 22026 (partial year): 1
2007high 5 (2009) · low 0 (2014)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DTM

246in 2009

2007: 60 days median2009: 246 days median
2007high 246 (2009) · low 60 (2007)2026

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

Recalls per year · DTM

1in 2019

2008: 12019: 1
2007high 1 (2008) · low 0 (2007)2026

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

Adverse event reports per year · DTM

4in 2024

2007: 82008: 22010: 32011: 82012: 62013: 92014: 642015: 342016: 272017: 152018: 232019: 52020: 12021: 12022: 42024: 4
2007high 64 (2014) · low 0 (2009)2025

MAUDE reports naming product code DTM, 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
200736008
20081—12
2009524600
20102—03
20111—08
20122—06
20131—09
20140—064
20150—034
20160—027
20170—015
20180—023
20190—15
20200—01
20210—01
20220—04
20231—00
20242—04
20250—00
20261—0—

What is it indicated for?

The Terumo® Pall AL20X Arterial Filter is indicated for use in cardiopulmonary bypass procedures for the removal* of micro-emboli greater than 20 microns in size, including gas emboli, fat emboli, and aggregates composed of platelets, red blood cells, and other debris from the arterial line and where the flow rate will not exceed 7 liters per minute. The device may be used in procedures lasting up to 6 hours in duration.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121209: Terumo Pall AL20X Arterial Filter.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121209

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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