510(k) Report

510(k) · Cleared

Cleared

Lube Jelly Suringe

K121390510(k) TraditionalCleared Aug 10, 201293-day reviewClass I21 CFR 880.6375

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

Nurse Assist, Inc. · KMJ Lubricant, Patient

Cleared on Aug 10, 2012 as substantially equivalent to K944969 (Horizon Medical, Inc., 1995) after a 93-day review. Its family tree reaches back 1 generation to 1995.

Decided
Aug 10, 2012
Review
93 days
Class
Class I
Product code
KMJ
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K944969 (1995). No later device cites it as a predicate yet.

K944969 · Steri-Lub Lubrication Gel · Horizon Medical, Inc. · 19951995200020052010
K944969 · Steri-Lub Lubrication Gel · Horizon Medical, Inc. · 19950
  1. Root · 1 generation backK944969 Steri-Lub Lubrication GelHorizon Medical, Inc. · 1995
  2. This deviceK121390 Lube Jelly SuringeNurse Assist, Inc. · 2012
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K944969Steri-Lub Lubrication GelHorizon Medical, Inc.1995—
0 (this device)K121390Lube Jelly SuringeNurse Assist, Inc.2012—
FIG. 1 — Lineage of K121390, 1995–2012Source: 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 KMJ? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin 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
*K944969Steri-Lub Lubrication Gel
Summary page 1
…Class I Product code KMJ 7. Legally marketed predicate devices to which substantial equivalence is claimed: Steri-Lub Lubrication Gel; Horizon Medical, Inc. - K944969 8. Description of the device that is the subject of this premarket notification: The subject device is a terminally gamma ste…
Horizon Medical, Inc.1995—

Also cleared against K944969: 1 other device →

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?

  • Its one ancestor has no recall.
  • 1 other device also cites its predicate K944969.

How does its category compare?

All KMJ devices

KMJ Lubricant, Patient: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · KMJ

1in 2015

2008: 32009: 12010: 12011: 12012: 32013: 12014: 12015: 1
2007high 3 (2008) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KMJ

141in 2012

2008: 86 days median2012: 141 days median
2007high 141 (2012) · low 86 (2008)2026

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

Recalls per year · KMJ

1in 2016

2010: 12011: 122016: 1
2007high 12 (2011) · low 0 (2007)2026

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

Adverse event reports per year · KMJ

1in 2025

2007: 52008: 32009: 12010: 12011: 72012: 22013: 62014: 22015: 42016: 52017: 12018: 52019: 22020: 12022: 42023: 42024: 32025: 1
2007high 7 (2011) · low 0 (2021)2025

MAUDE reports naming product code KMJ, 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
20070—05
200838603
20091—01
20101—11
20111—127
2012314102
20131—06
20141—02
20151—04
20160—15
20170—01
20180—05
20190—02
20200—01
20210—00
20220—04
20230—04
20240—03
20250—01
20260—0—

What is it indicated for?

For easing the insertion of medical devices such as scopes and catheters into body orifices.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121390: Lube Jelly Suringe.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121390

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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