510(k) Report

510(k) · Cleared

Cleared

Calcium Hydroxylapatite Vocal Fold Implant

K121795510(k) TraditionalCleared Feb 22, 2013248-day reviewClass II21 CFR 874.3620

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

Cytophil, Inc. · MIX System, Vocal Cord Medialization

Cleared on Feb 22, 2013 as substantially equivalent to K070090 (Bioform Medical, Inc., 2007) after a 248-day review. Its family tree reaches back 8 generations to 1992.

Decided
Feb 22, 2013
Review
248 days
Class
Class II
Product code
MIX
Recalls
None
Predicates
1

Its longest line of descent runs back 8 generations to K913882 (1992). 26 ancestors in all, the oldest K852682 (1985). No later device cites it as a predicate yet.

  1. Root · 8 generations backK913882 Zara Silicone BlockByron Medical · 1992
  2. 7 generations backK970910 Xomed Silicone Block/StripXomed, Inc. · 1997
  3. 6 generations backK972317 Montgomery Thyroplasty Implant SystemBoston Medical Products, Inc. · 1997
  4. 5 generations backK982294 Xomed Silicone Pre-Form BlocksXomed, Inc. · 1998
  5. 4 generations backK013243 Coaptite Laryngeal Augmentation System 1CC & O.5CC, Models…Bioform, Inc. · 2002 · Recalled
  6. 3 generations backK033398 Laryngeal Augmentation ImplantBioform, Inc. · 2003
  7. 2 generations backK060815 Juliesse Injectable Laryngeal Augmentation ImplantBioform Medical, Inc. · 2006 · Recalled
  8. 1 generation backK070090 Radiesse Laryngeal ImplantBioform Medical, Inc. · 2007
  9. This deviceK121795 Calcium Hydroxylapatite Vocal Fold ImplantCytophil, Inc. · 2013
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K913882Zara Silicone BlockByron Medical1992—
−7K970910Xomed Silicone Block/StripXomed, Inc.1997—
−6K972317Montgomery Thyroplasty Implant SystemBoston Medical Products, Inc.1997—
−5K982294Xomed Silicone Pre-Form BlocksXomed, Inc.1998—
−4K013243Coaptite Laryngeal Augmentation System 1CC & O.5CC, Models 0008021-1, 0008022-1Bioform, Inc.20021
−3K033398Laryngeal Augmentation ImplantBioform, Inc.2003—
−2K060815Juliesse Injectable Laryngeal Augmentation ImplantBioform Medical, Inc.20061
−1K070090Radiesse Laryngeal ImplantBioform Medical, Inc.2007—
0 (this device)K121795Calcium Hydroxylapatite Vocal Fold ImplantCytophil, Inc.2013—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198530
198610
199110
199210
199410
199520
199630
199830
199910
200010
200310
FIG. 1 — Lineage of K121795, 1992–2013Source: 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 MIX? 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 MIX device

  1. #1 K240919 Silk Voice (SMI-04)score 9.7 · 9 generations · no Class I recall
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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
*K070090Radiesse Laryngeal Implant
Summary page 3
…6)] Calcium Hydroxylapatite Vocal Fold Implant is .a paste of calcium hydroxylapatite (calcium phosphate) particles in a gel carrier, identical to the predicate K070090 (Radiesse Laryngeal Implant)). The gel carrier is resorbable and acts to hold the particles together to facilitate placem…
Bioform Medical, Inc.2007—

Also cleared against K070090: 3 other devices →

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 21 years and passes through 6 companies; a new generation was cleared every 2.3 years on median.
  • 2 of the 26 ancestors have a recall of any class.
  • 3 other devices also cite its predicate K070090.

How does its category compare?

All MIX devices

MIX System, Vocal Cord Medialization: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.

FDA decisions per year · MIX

1in 2024

2007: 12008: 22009: 32013: 12015: 12018: 12024: 1
2007high 3 (2009) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MIX

193in 2009

2009: 193 days median
2007high 193 (2009)2026

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

Recalls per year · MIX

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 · MIX

2in 2024

2009: 22010: 22012: 22014: 12015: 12016: 12017: 32018: 52019: 12020: 102021: 52023: 42024: 2
2007high 10 (2020) · low 0 (2007)2025

MAUDE reports naming product code MIX, 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
20071—00
20082—00
2009319302
20100—02
20110—00
20120—02
20131—00
20140—01
20151—11
20160—01
20170—03
20181—05
20190—01
20200—010
20210—05
20220—00
20230—04
20241—02
20250—00
20260—0—

What is it indicated for?

Calcium. Hydroxylapatite Vocal Fold Implant is indicated for vocal fold medialization and vocal fold insufficiency that may be improved by injection of a soft tissue-bulking agent. Calcium Hydroxylapatite Vocal Fold Implant injection augments the size of the displaced or deformed vocal fold so that it may meet the opposing fold at the midline for improved phonation. Vocal fold insufficiency associated with serious aspiration difficulties may be an urgent indication.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121795: Calcium Hydroxylapatite Vocal Fold Implant.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121795

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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