510(k) Report

510(k) · Cleared

Cleared

Vasostat Hemostasis Device

K123041510(k) TraditionalCleared May 29, 2013243-day reviewClass II21 CFR 870.4450

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

Forge Medical, Inc. · DXC Clamp, Vascular

Cleared on May 29, 2013 as substantially equivalent to K092503 (Advanced Vascular Dynamics, 2009) and 1 other predicate after a 243-day review. Its family tree reaches back 4 generations to 1998. 1 later device descends from it.

Decided
May 29, 2013
Review
243 days
Class
Class II
Product code
DXC
Recalls
None
Predicates
3

Its longest line of descent runs back 4 generations to K984177 (1998). 7 ancestors in all, the oldest K920614 (1992). 1 later device descends from it, 1 citing it directly.

  1. Root · 4 generations backK984177 Modification to SkvekpatchMarine Polymer Technologies, Inc. · 1998
  2. 3 generations backK021062 Chito-SealAbbott Vascular, Inc. · 2002
  3. 2 generations backK040208 Neptune Pad, Neptune Disc, Neptune Comfort-Band, Comfort-BandTz Medical, Inc. · 2004 · Recalled
  4. 1 generation backK092503 Radar Vascular Compression DevicesAdvanced Vascular Dynamics · 2009
  5. This deviceK123041 Vasostat Hemostasis DeviceForge Medical, Inc. · 2013
  6. Descendant · cites it directly · 0 of its ownK153259 VasoStat Hemostasis DeviceForge Medical, Inc. · 2016

Most influential descendants

Showing 1 of 1 · See all
  • K153259VasoStat Hemostasis DeviceForge Medical, Inc. · 2016 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K984177Modification to SkvekpatchMarine Polymer Technologies, Inc.1998—
−3K021062Chito-SealAbbott Vascular, Inc.2002—
−2K040208Neptune Pad, Neptune Disc, Neptune Comfort-Band, Comfort-BandTz Medical, Inc.20041
−1K092503Radar Vascular Compression DevicesAdvanced Vascular Dynamics2009—
0 (this device)K123041Vasostat Hemostasis DeviceForge Medical, Inc.2013—
+1K153259VasoStat Hemostasis DeviceForge Medical, Inc.2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199210
199410
200710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201610
FIG. 1 — Lineage of K123041, 1998–2016Source: 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 DXC? 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 DXC device

  1. #1 K262086 PreludeSYNC™ Radial Compression Devicescore 13.5 · 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
*K092503Radar Vascular Compression Devices
Summary page 1
…mber and 870.4450 Product Code: DXC Predicate Devices: RaDAR Vascular Compression Device (Advanced Vascular Dynamics) (DXC): K092503 TR Band (Terumo) (DXC): K070423 VasoStatTm Hemostasis Device (Forge Medical) (NOO): D…
Advanced Vascular Dynamics2009—
*K070423TR Band
Summary page 1
…Predicate Devices: RaDAR Vascular Compression Device (Advanced Vascular Dynamics) (DXC): K092503 TR Band (Terumo) (DXC): K070423 VasoStatTm Hemostasis Device (Forge Medical) (NOO): Device Listing (D147574) Device…
Terumo Medical Corp.2007—
Kept off the family treeD147574VasoStat Hemostasis Device
Number could not be read
Summary page 1
…503 TR Band (Terumo) (DXC): K070423 VasoStatTm Hemostasis Device (Forge Medical) (NOO): Device Listing (D147574) Device Description The VasoStatTM Hemostasis Device is an ergonomic, simple device that is adhered to…

Also cleared against K092503: 2 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K153259VasoStat Hemostasis DeviceForge Medical, Inc.20160

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 15 years and passes through 5 companies; a new generation was cleared every 3.7 years on median.
  • 1 of the 7 ancestors has a recall of any class.
  • Of its descendants, K153259 (Forge Medical, Inc., 2016) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K092503.

How does its category compare?

All DXC devices

DXC Clamp, Vascular: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.

FDA decisions per year · DXC

2in 2025

2007: 102008: 32009: 42010: 22011: 62012: 52013: 142014: 42015: 52016: 32017: 32018: 22019: 22020: 32021: 62022: 12023: 42024: 12025: 22026 (partial year): 4
2007high 14 (2013) · low 1 (2022)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DXC

215in 2023

2007: 52 days median2008: 29 days median2009: 83 days median2011: 51 days median2012: 73 days median2013: 89 days median2014: 157 days median2015: 71 days median2016: 91 days median2017: 90 days median2020: 209 days median2021: 37 days median2023: 215 days median2026 (partial year): 125 days median
2007high 215 (2023) · low 29 (2008)2026

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

Recalls per year · DXC

2in 2023

2008: 22009: 22010: 12011: 32014: 12022: 12023: 2
2007high 3 (2011) · low 0 (2007)2026

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

Adverse event reports per year · DXC

442in 2025

2007: 2982008: 3022009: 5392010: 6002011: 6912012: 5482013: 9202014: 4942015: 3742016: 4942017: 4162018: 3912019: 3932020: 4042021: 3712022: 2732023: 6742024: 3752025: 442
2007high 920 (2013) · low 273 (2022)2025

MAUDE reports naming product code DXC, 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
200710520298
20083292302
20094832539
20102—1600
20116513691
20125730548
201314890920
201441571494
20155710374
20163910494
20173900416
20182—0391
20192—0393
202032090404
20216370371
20221—1273
202342152674
20241—0375
20252—0442
202641250—

What is it indicated for?

The VasoStat"" Hemostasisbevice is indicated for use by medical professionals to

promote hernostasis following a catheterization or other puncture into a blood vessel in a

patient's arm, including radial artery catheterization, arterial or venous line removal,

hemodialysis, and in patients on anticoagulation therapy.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K123041: Vasostat Hemostasis Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K123041

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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