510(k) Report

510(k) · Cleared

Cleared

Presto 1000 System

K123565510(k) TraditionalCleared Dec 13, 201223-day reviewClass II21 CFR 892.1550

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

Physiosonics, Inc. · IYN System, Imaging, Pulsed Doppler, Ultrasonic

Cleared on Dec 13, 2012 as substantially equivalent to K002533 (Spencer Technologies, 2000) after a 23-day review. Its family tree reaches back 1 generation to 2000.

Decided
Dec 13, 2012
Review
23 days
Class
Class II
Product code
IYN
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K002533 (2000). No later device cites it as a predicate yet.

K002533 · TCD 100M, PWD13 Transducer · Spencer Technologies · 2000 · recalled20002002200420062008201020122014
  1. Root · 1 generation backK002533 TCD 100M, PWD13 TransducerSpencer Technologies · 2000 · Recalled
  2. This deviceK123565 Presto 1000 SystemPhysiosonics, Inc. · 2012
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K002533TCD 100M, PWD13 TransducerSpencer Technologies20001
0 (this device)K123565Presto 1000 SystemPhysiosonics, Inc.2012—
FIG. 1 — Lineage of K123565, 2000–2012Source: 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 IYN? 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 IYN device

  1. #1 K240850 EPIQ Series Diagnostic Ultrasound Systems…score 32.1 · 24 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
*K002533TCD 100M, PWD13 Transducer
Summary page 1
…IYN, [TX Class Regulatory Class 11 Predicate Device: Spencer Technologies, Inc., K002533 TCD 100 M, Transcranial Doppler Ultrasound System, CFR…
Spencer Technologies20001

Also cleared against K002533: 6 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?

  • Its one ancestor has a recall.
  • 6 other devices also cite its predicate K002533.

How does its category compare?

All IYN devices

IYN System, Imaging, Pulsed Doppler, Ultrasonic: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · IYN

57in 2025

2007: 132008: 252009: 182010: 292011: 392012: 432013: 512014: 562015: 542016: 602017: 642018: 592019: 472020: 572021: 462022: 532023: 442024: 502025: 572026 (partial year): 44
2007high 64 (2017) · low 13 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · IYN

124in 2025

2007: 26 days median2008: 18 days median2009: 29 days median2010: 67 days median2011: 46 days median2012: 37 days median2013: 60 days median2014: 39 days median2015: 55 days median2016: 56 days median2017: 83 days median2018: 85 days median2019: 79 days median2020: 72 days median2021: 105 days median2022: 105 days median2023: 115 days median2024: 119 days median2025: 124 days median2026 (partial year): 107 days median
2007high 124 (2025) · low 18 (2008)2026

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

Recalls per year · IYN

10in 2025

2007: 162008: 122009: 82010: 102011: 82012: 32013: 82014: 22015: 32016: 22018: 72020: 42021: 82022: 102023: 42024: 12025: 102026 (partial year): 2, 1 Class I
2007high 16 (2007) · low 0 (2017)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · IYN

610in 2025

2007: 32008: 22009: 92010: 172011: 182012: 202013: 182014: 482015: 1162016: 1452017: 1462018: 852019: 592020: 672021: 2132022: 1862023: 2292024: 2662025: 610
2007high 610 (2025) · low 2 (2008)2025

MAUDE reports naming product code IYN, 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
20071326163
20082518122
2009182989
201029671017
20113946818
20124337320
20135160818
20145639248
201554553116
201660562145
201764830146
20185985785
20194779059
20205772467
2021461058213
20225310510186
2023441154229
2024501191266
20255712410610
2026441072 (1)—

What is it indicated for?

The Presto 1000 transcranial Doppler ultrasound system is intended for use in the ICU and surgical suite as an ultrasound fluid flow analysis system for the monitoring of middle cerebral artery blood velocities. Vessels intended for monitoring are solely the MlI segments of the middle cerebral arteries via the temporal windows on the left and right sides of the head. The Presto 1000 calculates cerebrovascular flow index values to identify the presence of…

Read the full statement (157 words)

The Presto 1000 transcranial Doppler ultrasound system is intended for use in the ICU and surgical suite as an ultrasound fluid flow analysis system for the monitoring of middle cerebral artery blood velocities. Vessels intended for monitoring are solely the MlI segments of the middle cerebral arteries via the temporal windows on the left and right sides of the head.

The Presto 1000 calculates cerebrovascular flow index values to identify the presence of hemodynamically significant deviations from normal values. It records changes in these indices over time for later review, displays trends in user selected flow indices, and generates alerts when user selected indices exceed user defined levels, based on physician requirements and patient needs.

The device is not intended to replace other means of evaluating vital patient physiological processes, such as pulse oximetry, electroencephalography or electrocardiography, is not intended to be used in fetal applications, and is not intended to be used in the sterile field.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K123565: Presto 1000 System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K123565

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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