510(k) Report

510(k) · Cleared

Cleared

Gemini Lithotripter

K121656510(k) SpecialCleared Sep 24, 2012111-day reviewClass II21 CFR 876.5990

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

Dornier Medtech America, Inc. · LNS Lithotriptor, Extracorporeal Shock-Wave, Urological

Cleared on Sep 24, 2012 as substantially equivalent to P840008 (Dornier Medtech America, Inc., 1984) and 1 other predicate after a 111-day review. Its family tree reaches back 2 generations to 1984. 6 later devices descend from it.

Decided
Sep 24, 2012
Review
111 days
Class
Class II
Product code
LNS
Recalls
None
Predicates
3

Its longest line of descent runs back 2 generations to P840008 (1984). 3 ancestors in all. 6 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor2014: 1 descendant cleared2013: 2 descendants cleared2015: 2 descendants cleared2022: 1 descendant clearedReference device: K002929 · Dornier Compact Alpha Lithotripter · Dornier Medtech America, Inc. · 2001P840008 · Dornier Lithotripter Compact Transportable (DLCT) · Dornier Medtech America, Inc. · 1984K011773 · Dornier Lithotripter 140(Doli 140) · Dornier · 200119801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 2 descendants3 generations forward: 1 descendant K011773 · Dornier Lithotripter 140(Doli 140) · Dornier · 2001P840008 · Dornier Lithotripter Compact Transportable (DLCT) · Dornier Medtech America, Inc. · 19840
  1. Root · 2 generations backP840008 Dornier Lithotripter Compact Transportable (DLCT)Dornier Medtech America, Inc. · 1984
  2. 1 generation backK011773 Dornier Lithotripter 140(Doli 140)Dornier · 2001
  3. This deviceK121656 Gemini LithotripterDornier Medtech America, Inc. · 2012
  4. Descendant · cites it directly · 2 of its ownK133434 Genesis IIDornier Medtech America, Inc. · 2014
  5. Descendant · 2 generations on · 1 of its ownK151485 GenesisDornier Medtech America, Inc. · 2015
  6. Descendant · cites it directly · 1 of its ownK132672 Extra Corporeal Shockwave LithotripterDornier Medtech America · 2013
  7. Descendant · 3 generations on · 0 of its ownK220871 NautilusDornier Medtech America, Inc. · 2022
  8. Descendant · 2 generations on · 0 of its ownK151298 Gemini XXP-HPDornier Medtech America · 2015

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2013: 22014: 12015: 22022: 1
2013high 2 (2013) · low 0 (2016)2026

Most influential descendants

Showing 5 of 6 · See all
  • K133434Genesis IIDornier Medtech America, Inc. · 2014 · cites it directly2descendants
  • K151485GenesisDornier Medtech America, Inc. · 2015 · 2 generations on1descendant
  • K132672Extra Corporeal Shockwave LithotripterDornier Medtech America · 2013 · cites it directly1descendant
  • K220871NautilusDornier Medtech America, Inc. · 2022 · 3 generations on0descendants
  • K151298Gemini XXP-HPDornier Medtech America · 2015 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2P840008Dornier Lithotripter Compact Transportable (DLCT)Dornier Medtech America, Inc.1984—
−1K011773Dornier Lithotripter 140(Doli 140)Dornier2001—
0 (this device)K121656Gemini LithotripterDornier Medtech America, Inc.2012—
+1K133434Genesis IIDornier Medtech America, Inc.2014—
+2K151485GenesisDornier Medtech America, Inc.2015—
+1K132672Extra Corporeal Shockwave LithotripterDornier Medtech America2013—
+3K220871NautilusDornier Medtech America, Inc.2022—
+2K151298Gemini XXP-HPDornier Medtech America2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201320
201410
201520
202210
FIG. 1 — Lineage of K121656, 1984–2022Source: 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 LNS? 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 LNS device

  1. #1 K252913 Break Wavescore 15.5 · 7 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? (3)

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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
*P840008Dornier Lithotripter Compact Transportable (DLCT)
Summary page 1
…Classification Name Extracorporeal Shock Wave Lithotripters (21 C.F.R. § 876.5990) Predicate Devices Dornier Lithotripter (Doll) (P840008, S062) Dornier Lithotripter 140 (Doli 140) (K01 1773) Intended Use / Indications for Use T…
Dornier Medtech America, Inc.1984—
Kept off the family treeK061Dornier Lithotripter (Doll)
Number could not be read
*K011773Dornier Lithotripter 140(Doli 140)
Summary page 1
…tripters (21 C.F.R. § 876.5990) Predicate Devices Dornier Lithotripter (Doll) (P840008, S062) Dornier Lithotripter 140 (Doli 140) (K01 1773) Intended Use / Indications for Use The Gemini is indicated for the fragmentation of urinary tract ston…
Dornier2001—
†K002929Dornier Compact Alpha LithotripterDornier Medtech America, Inc.2001—

Also cleared against P840008: 6 other devices →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K133434Genesis IIDornier Medtech America, Inc.20142
K132672Extra Corporeal Shockwave LithotripterDornier Medtech America20131
K130729Extra Corporeal Shockwave LithotripterDornier Medtech Systems20130

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 2 companies; a new generation was cleared every 16.5 years on median.
  • None of the 3 ancestors has a recall.
  • Of its descendants, K133434 (Dornier Medtech America, Inc., 2014) has gone furthest, with 2 descendants of its own.
  • 6 other devices also cite its predicate P840008.

How does its category compare?

All LNS devices

LNS Lithotriptor, Extracorporeal Shock-Wave, Urological: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · LNS

1in 2025

2007: 42008: 22009: 12011: 32012: 32013: 22014: 22015: 22017: 22020: 12021: 12023: 22025: 12026 (partial year): 2
2007high 4 (2007) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LNS

111in 2012

2007: 146 days median2011: 307 days median2012: 111 days median
2007high 307 (2011) · low 111 (2012)2026

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

Recalls per year · LNS

1in 2015

2015: 1
2007high 1 (2015) · low 0 (2007)2026

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

Adverse event reports per year · LNS

61in 2025

2007: 42008: 102009: 22010: 152011: 212012: 202013: 182014: 212015: 222016: 502017: 542018: 592019: 602020: 382021: 552022: 522023: 862024: 402025: 61
2007high 86 (2023) · low 2 (2009)2025

MAUDE reports naming product code LNS, 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
2007414604
20082—010
20091—02
20100—015
20113307021
20123111020
20132—018
20142—021
20152—122
20160—050
20172—054
20180—059
20190—060
20201—038
20211—055
20220—052
20232—086
20240—040
20251—061
20262—0—

What is it indicated for?

The Gemini is indicated for the fragmentation of urinary tract stones, i.e. renal calyceal stones, renal pelvic stones, and upper ureteral stones.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121656: Gemini Lithotripter.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121656

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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