510(k) Report

510(k) · Cleared

Cleared

External Counterpulsation System

K190683510(k) TraditionalCleared Sep 10, 2019176-day reviewClass II21 CFR 870.5225

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

Vamed Medical Instrument Co., Ltd. · DRN Device, Counter-Pulsating, External

Cleared on Sep 10, 2019 as substantially equivalent to K130439 (Chongqing Psk Sci-Tech Development Co., Ltd., 2013) and 1 other predicate after a 176-day review. Its family tree reaches back 4 generations to 2000. 1 later device descends from it.

Decided
Sep 10, 2019
Review
176 days
Class
Class II
Product code
DRN
Recalls
None
Predicates
2

Its longest line of descent runs back 4 generations to K980937 (2000). 6 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 1 other ancestor2002: 1 other ancestor2020: 1 descendant clearedK980937 · Nicore Model Esp -1 · Nicore Equipment & Leasing, Inc. · 2000K042413 · Acs Model NCP-2 · Applied Cardiac Systems · 2004K152115 · Renew NCP-5 External Counterpulsation System · Stage 2 Innovations · 2015K173483 · Pure Flow External Counter-Pulsation Device · Xtreem Pulse, LLC · 2018200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor4 generations back: 1 other ancestor 1 generation forward: 1 descendant K173483 · Pure Flow External Counter-Pulsation Device · Xtreem Pulse, LLC · 2018K152115 · Renew NCP-5 External Counterpulsation System · Stage 2 Innovations · 2015K042413 · Acs Model NCP-2 · Applied Cardiac Systems · 2004K980937 · Nicore Model Esp -1 · Nicore Equipment & Leasing, Inc. · 20000
  1. Root · 4 generations backK980937 Nicore Model Esp -1Nicore Equipment & Leasing, Inc. · 2000
  2. 3 generations backK042413 Acs Model NCP-2Applied Cardiac Systems · 2004
  3. 2 generations backK152115 Renew NCP-5 External Counterpulsation SystemStage 2 Innovations · 2015
  4. 1 generation backK173483 Pure Flow External Counter-Pulsation DeviceXtreem Pulse, LLC · 2018
  5. This deviceK190683 External Counterpulsation SystemVamed Medical Instrument Co., Ltd. · 2019
  6. Descendant · cites it directly · 0 of its ownK202108 External Counterpulsation System, SoulaireVamed Medical Instrument Co., Ltd. · 2020

Most influential descendants

Showing 1 of 1 · See all
  • K202108External Counterpulsation System, SoulaireVamed Medical Instrument Co., Ltd. · 2020 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K980937Nicore Model Esp -1Nicore Equipment & Leasing, Inc.2000—
−3K042413Acs Model NCP-2Applied Cardiac Systems2004—
−2K152115Renew NCP-5 External Counterpulsation SystemStage 2 Innovations2015—
−1K173483Pure Flow External Counter-Pulsation DeviceXtreem Pulse, LLC2018—
0 (this device)K190683External Counterpulsation SystemVamed Medical Instrument Co., Ltd.2019—
+1K202108External Counterpulsation System, SoulaireVamed Medical Instrument Co., Ltd.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200210
201310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
FIG. 1 — Lineage of K190683, 2000–2020Source: 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 DRN? 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 DRN device

  1. #1 K250756 Pression Wave PRO External Counter-Pulsation…score 10.9 · 2 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? (2)

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
*K130439External Counterpulsation Device with SP02 Mornitoring
Summary page 5
…Regulation Class: 2 3. Predicate Device Information 1) Primary Predicate Device Sponsor: Chongqing Psk Sci-tech Devolpment Co., Ltd. 510K number: K130439 Trade/Device Name: External Counterpulsation Device with SPO2 Monitoring Model: P-ECP/TI Regulation Number: 21 CFR 870.5225…
Chongqing Psk Sci-Tech Development Co., Ltd.2013—
*K173483Pure Flow External Counter-Pulsation Device
Summary page 5
…Sponsor: Xtreem Pulse, LLC Device Name: External Counter-Pulsation Device Model: PureFlow Classification Name: External counter-pulsating device 510(k) number: K173483 Review Panel: Cardiovascular Product Code: DRN Regulation Number: 21 CFR 870.5225 4. Device Description ECP-MC3 is…
Xtreem Pulse, LLC2018—

Also cleared against K130439: 1 other device →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K202108External Counterpulsation System, SoulaireVamed Medical Instrument Co., Ltd.20200

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 19 years and passes through 5 companies; a new generation was cleared every 4.2 years on median.
  • None of the 6 ancestors has a recall.
  • Of its descendants, K202108 (Vamed Medical Instrument Co., Ltd., 2020) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K130439.

How does its category compare?

All DRN devices

DRN Device, Counter-Pulsating, External: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · DRN

1in 2025

2008: 12009: 12013: 12015: 12018: 12019: 12020: 22025: 1
2007high 2 (2020) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DRN

Too few DRN 510(k)s in any year since 2007 to give a median.

Recalls per year · DRN

1in 2009

2009: 1
2007high 1 (2009) · low 0 (2007)2026

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

Adverse event reports per year · DRN

1in 2024

2007: 22016: 12024: 1
2007high 2 (2007) · low 0 (2008)2025

MAUDE reports naming product code DRN, 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
20070—02
20081—00
20091—10
20100—00
20110—00
20120—00
20131—00
20140—00
20151—00
20160—01
20170—00
20181—00
20191—00
20202—00
20210—00
20220—00
20230—00
20240—01
20251—00
20260—0—

What is it indicated for?

The ECP-MC3 device is intended for the treatment of chronic stable angina that is refractory to optimal anti-anginal medical therapy and without options for revascularization. In addition, it is intended for use in healthy patients to provide improvement in vasodilation, and increased blood flow. It is intended for use under the oversight of a healthcare professional.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K190683: External Counterpulsation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K190683

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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