510(k) Report

510(k) · Cleared

Recalled · Class II · 2015

Connector Components with Balance Biosurface

K122811510(k) SpecialCleared Oct 12, 201229-day reviewClass II21 CFR 870.4290Recalls 1

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

Medtronic, Inc. · DTL Adaptor, Stopcock, Manifold, Fitting, Cardiopulmonary Bypass

Cleared on Oct 12, 2012 as substantially equivalent to K113845 (Medtronic, Inc., 2012) after a 29-day review. Its family tree reaches back 3 generations to 1980. 5 later devices descend from it. It has been recalled once.

Decided
Oct 12, 2012
Review
29 days
Class
Class II
Product code
DTL
Recalls
1
Predicates
1

Its longest line of descent runs back 3 generations to K800178 (1980). 6 ancestors in all. 5 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2010: 1 other ancestor1993: 1 other ancestor1988: 1 other ancestor2015: 1 descendant cleared2017: 2 descendants cleared2026: 1 descendant cleared2022: 1 descendant clearedK800178 · Extracorp.'S Intersept Cus. Tubing PK. · Extracorporeal Medical Specialities, Inc. · 1980 · recalledK012538 · Tubing and Connectors with Trillium Biopassive Surface · Medtronic Vascular · 2001 · recalledK113845 · Tubing, Conmnectors, and Accessories Wit Balance Biosurface · Medtronic, Inc. · 2012 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 3 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 1 descendant4 generations forward: 2 descendants K113845 · Tubing, Conmnectors, and Accessories Wit Balance Biosurface · Medtronic, Inc. · 2012 · recalledK012538 · Tubing and Connectors with Trillium Biopassive Surface · Medtronic Vascular · 2001 · recalledK800178 · Extracorp.'S Intersept Cus. Tubing PK. · Extracorporeal Medical Specialities, Inc. · 1980 · recalled0
  1. Root · 3 generations backK800178 Extracorp.'S Intersept Cus. Tubing PK.Extracorporeal Medical Specialities, Inc. · 1980 · Recalled
  2. 2 generations backK012538 Tubing and Connectors with Trillium Biopassive SurfaceMedtronic Vascular · 2001 · Recalled
  3. 1 generation backK113845 Tubing, Conmnectors, and Accessories Wit Balance BiosurfaceMedtronic, Inc. · 2012 · Recalled
  4. This deviceK122811 Connector Components with Balance BiosurfaceMedtronic, Inc. · 2012
  5. Descendant · cites it directly · 4 of its ownK151523 Uncoated Tubing and Connector ComponentsMedtronic, Inc. · 2015
  6. Descendant · 2 generations on · 3 of its ownK171308 Tubing PackMedtronic, Inc. · 2017 · Recalled
  7. Descendant · 3 generations on · 2 of its ownK171979 Tubing PackMedtronic, Inc. · 2017 · Recalled
  8. Descendant · 4 generations on · 0 of its ownK260043 Smart Reactors Camouflage Coated Extracorporeal Cardiopulmonary…Smart Reactors · 2026
  9. Descendant · 4 generations on · 0 of its ownK213540 Quantum SuperPAC Tubing Set, Quantum SuperPAC Cardioplegia SetQura S.R.L · 2022

Most influential descendants

Showing 5 of 5 · See all
  • K151523Uncoated Tubing and Connector ComponentsMedtronic, Inc. · 2015 · cites it directly4descendants
  • K171308Tubing PackMedtronic, Inc. · 2017 · 2 generations on3descendants
  • K171979Tubing PackMedtronic, Inc. · 2017 · 3 generations on2descendants
  • K260043Smart Reactors Camouflage Coated Extracorporeal Cardiopulmonary Tubing Set (SR180C)Smart Reactors · 2026 · 4 generations on0descendants
  • K213540Quantum SuperPAC Tubing Set, Quantum SuperPAC Cardioplegia SetQura S.R.L · 2022 · 4 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K800178Extracorp.'S Intersept Cus. Tubing PK.Extracorporeal Medical Specialities, Inc.198010
−2K012538Tubing and Connectors with Trillium Biopassive SurfaceMedtronic Vascular20015
−1K113845Tubing, Conmnectors, and Accessories Wit Balance BiosurfaceMedtronic, Inc.20121
0 (this device)K122811Connector Components with Balance BiosurfaceMedtronic, Inc.2012—
+1K151523Uncoated Tubing and Connector ComponentsMedtronic, Inc.2015—
+2K171308Tubing PackMedtronic, Inc.20171
+3K171979Tubing PackMedtronic, Inc.201725
+4K260043Smart Reactors Camouflage Coated Extracorporeal Cardiopulmonary Tubing Set…Smart Reactors2026—
+4K213540Quantum SuperPAC Tubing Set, Quantum SuperPAC Cardioplegia SetQura S.R.L2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
199310
201010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201510
201720
202210
202610
FIG. 1 — Lineage of K122811, 1980–2026Source: 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 DTL? 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
*K113845Tubing, Conmnectors, and Accessories Wit Balance Biosurface
Summary page 1
…manifold or fitting Regulation Number: 21 CFR 870.4290 Product Codes: DTL and DWF Product Classification: Class 11 Predicate Device K1 13845 Tubing, Connectors and Accessories, with Balance® Biosurface…
Medtronic, Inc.20121

Also cleared against K113845: 2 other devices →

What descends from it? (5)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K151523Uncoated Tubing and Connector ComponentsMedtronic, Inc.20154

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Aug 18, 2015Class IIZ-2736-2015Nonconforming Material/ComponentHemocor High Performance Hemoconcentrators demonstrate low ultrafiltration performance that is below product specification. These potentially affected units have been distributed as stand-alone devices and in specific lots of Medtronic…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 32 years and passes through 3 companies; a new generation was cleared every 10.4 years on median.
  • 4 of the 6 ancestors have a recall of any class.
  • Of its descendants, K151523 (Medtronic, Inc., 2015) has gone furthest, with 4 descendants of its own.
  • 2 other devices also cite its predicate K113845.

How does its category compare?

All DTL devices

DTL Adaptor, Stopcock, Manifold, Fitting, Cardiopulmonary Bypass: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · DTL

1in 2015

2007: 12008: 52009: 22010: 42012: 82013: 12014: 22015: 1
2007high 8 (2012) · low 0 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DTL

36in 2012

2008: 85 days median2010: 115 days median2012: 36 days median
2007high 115 (2010) · low 36 (2012)2026

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

Recalls per year · DTL

1in 2025

2008: 12010: 32011: 12012: 22013: 1, 1 Class I2014: 12017: 22022: 22025: 12026 (partial year): 3, 3 Class I
2007high 3 (2010) · low 0 (2007)2026

Class I (4 since 2007) Class II/III not classified

Adverse event reports per year · DTL

110in 2025

2007: 372008: 162009: 622010: 1482011: 1602012: 532013: 672014: 802015: 892016: 672017: 1062018: 842019: 762020: 532021: 552022: 482023: 462024: 4522025: 110
2007high 452 (2024) · low 16 (2008)2025

MAUDE reports naming product code DTL, 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—037
2008585116
20092—062
201041153148
20110—1160
2012836253
20131—1 (1)67
20142—180
20151—089
20160—067
20170—2106
20180—084
20190—076
20200—053
20210—055
20220—248
20230—046
20240—0452
20250—1110
20260—3 (3)—

What is it indicated for?

Medtronic Connector Components with BalanceTM Biosurface are indicated for use in the extracorporeal circuit during cardiopulmonary bypass surgical procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K122811: Connector Components with Balance Biosurface.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K122811

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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