510(k) Report

510(k) · Cleared

Cleared

Medtronic Xomed, Inc.

K122391510(k) TraditionalCleared Jan 10, 2013156-day reviewClass II21 CFR 872.5570

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

Medtronic Xomed, Inc. · LRK Device, Anti-Snoring

Cleared on Jan 10, 2013 as substantially equivalent to K981677 (Influence, Inc., 1999) after a 156-day review. Its family tree reaches back 5 generations to 1992. 4 later devices descend from it.

Decided
Jan 10, 2013
Review
156 days
Class
Class II
Product code
LRK
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K920213 (1992). 11 ancestors in all. 4 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1996: 2 other ancestors1995: 3 other ancestors1994: 1 other ancestor2019: 1 descendant cleared2014: 1 descendant cleared2020: 1 descendant cleared2021: 1 descendant clearedK920213 · Mitek Anchor, Mitek Anchor II · Mitek Surgical Products, Inc. · 1992K962372 · Urotac Bone Anchor Inserter · Influence, Inc. · 1996×2: 2 generations cleared close together, K970292 (1997), K972023 (1997) K981677 · Repose Bone Screw System · Influence, Inc. · 1999 · recalled1990200020102020
  1. Root · 5 generations backK920213 Mitek Anchor, Mitek Anchor IIMitek Surgical Products, Inc. · 1992
  2. 4 generations backK962372 Urotac Bone Anchor InserterInfluence, Inc. · 1996
  3. 3 generations backK970292 IN-Fast Bone Screw System/in-Fast Bone Screw Inserter/in-Fast Bone…Influence, Inc. · 1997 · Recalled
  4. 2 generations backK972023 Sleep-in Bone Screw SystemInfluence, Inc. · 1997
  5. 1 generation backK981677 Repose Bone Screw SystemInfluence, Inc. · 1999 · Recalled
  6. This deviceK122391 Medtronic Xomed, Inc.Medtronic Xomed, Inc. · 2013
  7. Descendant · cites it directly · 3 of its ownK133680 Encore SystemSiesta Medical, Inc. · 2014
  8. Descendant · cites it directly · 2 of its ownK183310 Encore SystemSiesta Medical, Inc. · 2019
  9. Descendant · 2 generations on · 1 of its ownK201238 Encore SystemSiesta Medical, Inc. · 2020
  10. Descendant · 3 generations on · 0 of its ownK213159 Encore SystemSiesta Medical, Inc. · 2021

Most influential descendants

Showing 4 of 4 · See all
  • K133680Encore SystemSiesta Medical, Inc. · 2014 · cites it directly3descendants
  • K183310Encore SystemSiesta Medical, Inc. · 2019 · cites it directly2descendants
  • K201238Encore SystemSiesta Medical, Inc. · 2020 · 2 generations on1descendant
  • K213159Encore SystemSiesta Medical, Inc. · 2021 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K920213Mitek Anchor, Mitek Anchor IIMitek Surgical Products, Inc.1992—
−4K962372Urotac Bone Anchor InserterInfluence, Inc.1996—
−3K970292IN-Fast Bone Screw System/in-Fast Bone Screw Inserter/in-Fast Bone ScrewInfluence, Inc.19971
−2K972023Sleep-in Bone Screw SystemInfluence, Inc.1997—
−1K981677Repose Bone Screw SystemInfluence, Inc.19992
0 (this device)K122391Medtronic Xomed, Inc.Medtronic Xomed, Inc.2013—
+1K133680Encore SystemSiesta Medical, Inc.2014—
+1K183310Encore SystemSiesta Medical, Inc.2019—
+2K201238Encore SystemSiesta Medical, Inc.2020—
+3K213159Encore SystemSiesta Medical, Inc.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199530
199620

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201910
202010
202110
FIG. 1 — Lineage of K122391, 1992–2021Source: 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 LRK? 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 LRK device

  1. #1 K252531 Myosa (S1H, S1, S2, S3, S1M, S2M); Myosa for…score 16.3 · 9 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
*K981677Repose Bone Screw System
Summary page 1
…apnea. (21 CFR§ 872.5570) Predicate device to the AlRvance"' * ReposeT Bone Screw System Bone Screw System (K1 22391) (K981677) System Description: The AlRvanceTM Bone Screw System consists of three main components: a bone screw attached to surgi…
Influence, Inc.19992

Also cleared against K981677: 2 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K133680Encore SystemSiesta Medical, Inc.20143
K183310Encore SystemSiesta Medical, Inc.20192

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 3 companies; a new generation was cleared every 2.0 years on median.
  • 3 of the 11 ancestors have a recall of any class.
  • Of its descendants, K133680 (Siesta Medical, Inc., 2014) has gone furthest, with 3 descendants of its own.
  • 2 other devices also cite its predicate K981677.

How does its category compare?

All LRK devices

LRK Device, Anti-Snoring: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.

FDA decisions per year · LRK

14in 2025

2007: 12008: 32009: 32010: 82011: 102012: 102013: 92014: 112015: 62016: 102017: 72018: 102019: 132020: 52021: 102022: 112023: 52024: 62025: 142026 (partial year): 10
2007high 14 (2025) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LRK

107in 2025

2008: 109 days median2009: 88 days median2010: 195 days median2011: 134 days median2012: 142 days median2013: 233 days median2014: 219 days median2015: 117 days median2016: 157 days median2017: 170 days median2018: 200 days median2019: 150 days median2020: 80 days median2021: 126 days median2022: 154 days median2023: 156 days median2024: 254 days median2025: 107 days median2026 (partial year): 63 days median
2007high 254 (2024) · low 80 (2020)2026

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

Recalls per year · LRK

1in 2025

2009: 22025: 12026 (partial year): 1
2007high 2 (2009) · low 0 (2007)2026

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

Adverse event reports per year · LRK

653in 2025

2008: 12009: 112010: 72011: 692012: 4452013: 722014: 492015: 282016: 182017: 322018: 612019: 562020: 242021: 492022: 402023: 502024: 1852025: 653
2007high 653 (2025) · low 0 (2007)2025

MAUDE reports naming product code LRK, 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
2008310901
2009388211
2010819507
201110134069
2012101420445
20139233072
201411219049
20156117028
201610157018
20177170032
201810200061
201913150056
2020580024
202110126049
202211154040
20235156050
202462540185
2025141071653
202610631—

What is it indicated for?

The AIRvance Bone Screw System is intended for anterior tongue base suspension by fixation of the soft tissue of the tongue base to the mandible bone using a bone screw with pre-threaded suture. It is indicated for the treatment of obstructive sleep apnea (OSA) and/or snoring. The AIRvance Bone Screw System is also suitable for the performance of a hyoid suspension procedure which can be used in combination with other procedures for the treatment of obstructive sleep apnea (OSA). It is indicated for the treatment of obstructive sleep apnea (OSA) and/or snoring.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K122391: Medtronic Xomed, Inc..” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K122391

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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