510(k) Report

510(k) · Cleared

Cleared

AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove Clip, AtriClip LAA Exclusion System with preloaded V-Clip

K191413510(k) TraditionalCleared Aug 21, 201985-day reviewClass II21 CFR 878.4300

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

AtriCure, Inc. · PZX Left Atrial Appendage Clip, Implantable

Cleared on Aug 21, 2019 as substantially equivalent to K181474 (AtriCure, Inc., 2018) after an 85-day review. Its family tree reaches back 15 generations to 1993. 6 later devices descend from it.

Decided
Aug 21, 2019
Review
85 days
Class
Class II
Product code
PZX
Recalls
None
Predicates
1

Its longest line of descent runs back 15 generations to K933887 (1993). 70 ancestors in all, the oldest K771412 (1977). 6 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 2 other ancestors2003: 6 other ancestors2001: 4 other ancestors1999: 1 other ancestor1997: 4 other ancestors2002: 3 other ancestors2000: 5 other ancestors1995: 3 other ancestors1993: 1 other ancestor1977: 1 other ancestor1998: 3 other ancestors1996: 7 other ancestors1994: 5 other ancestors1992: 4 other ancestors1991: 1 other ancestor1989: 2 other ancestors1984: 1 other ancestor1982: 1 other ancestor1985: 1 other ancestor2021: 1 descendant cleared2023: 2 descendants cleared2022: 1 descendant cleared2026: 2 descendants clearedReference device: K093679 · Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove Clip, Gillinov-Cosgrove Section Guide Model Various LAA0 · AtriCure, Inc. · 2010Reference device: K122276 · Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove Clip · AtriCure, Inc. · 2012Reference device: K131107 · Atriclip Gillinov-Cosgrove Laa Clip · AtriCure, Inc. · 2013Reference device: K142120 · Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove Clip · AtriCure, Inc. · 2014Reference device: K150996 · AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove Clip · AtriCure, Inc. · 2015Reference device: K153500 · AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove PRO V Clip · AtriCure, Inc. · 2016Reference device: K160454 · AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove Clip · AtriCure, Inc. · 2016 · recalledReference device: K163261 · AtriClip PRO, PRO2, and PRO V LAA Exclusion System devices with preloaded Gillinov-Cosgrove Clip · AtriCure, Inc. · 2017Reference device: K172742 · AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove Clip (PRO2) · AtriCure, Inc. · 2017Reference device: K173031 · AtriClip LAA Exclusion System with Preloaded PRO·V Clip · AtriCure, Inc. · 2017Reference device: K180010 · AtriClip FLEX-V · AtriCure, Inc. · 2018K933887 · Implantable Clip · United States Surgical, A Division of Tyco Healthc · 1993K962043 · Auto Suture Modified VCS Clip Applier · United States Surgical, A Division of Tyco Healthc · 1996 · recalledK994160 · Coalescent Surgical Sutured-Clip · Coalescent Surgical · 2000×6: 6 generations cleared close together, K012317 (2001), K013664 (2002), K021407 (2002), K023125 (2002), K024366 (2003), K031623 (2003) K093679 · Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove Clip, Gillinov-Cosgrove Section Guide Model Various LAA0 · AtriCure, Inc. · 2010K122276 · Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove Clip · AtriCure, Inc. · 2012K153500 · AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove PRO V Clip · AtriCure, Inc. · 2016×3: 3 generations cleared close together, K173031 (2017), K180010 (2018), K181474 (2018) 19801990200020102020
Other ancestors, by generationDescendants, by generation 7 generations back: 5 other ancestors8 generations back: 6 other ancestors9 generations back: 10 other ancestors10 generations back: 22 other ancestors11 generations back: 8 other ancestors12 generations back: 4 other ancestors 1 generation forward: 1 descendant2 generations forward: 3 descendants3 generations forward: 2 descendants K181474 · ArtiClip LAA Exclusion System · AtriCure, Inc. · 2018K180010 · AtriClip FLEX-V · AtriCure, Inc. · 2018K173031 · AtriClip LAA Exclusion System with Preloaded PRO·V Clip · AtriCure, Inc. · 2017K153500 · AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove PRO V Clip · AtriCure, Inc. · 2016K122276 · Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove Clip · AtriCure, Inc. · 2012K093679 · Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove Clip, Gillinov-Cosgrove Section Guide Model Various LAA0 · AtriCure, Inc. · 2010K031623 · Modification to Coalescent Surgical U-Clip and Accessories · Coalescent Surgical · 2003 · recalledK024366 · Coalescent Surgical U-Clip and Accessories · Coalescent Surgical · 2003 · recalledK023125 · Coalescent U-Clip- and Accessories · Coalescent Surgical · 2002K021407 · Coalescent Surgical U-Clip - or Other TBD and Accessories · Coalescent Surgical · 2002K013664 · Coalescent Surgical U-Clip · Coalescent Surgical · 2002K012317 · Coalescent Surgical U-Clip · Coalescent Surgical · 2001K994160 · Coalescent Surgical Sutured-Clip · Coalescent Surgical · 2000K962043 · Auto Suture Modified VCS Clip Applier · United States Surgical, A Division of Tyco Healthc · 1996 · recalledK933887 · Implantable Clip · United States Surgical, A Division of Tyco Healthc · 1993−15−10−50
  1. Root · 15 generations backK933887 Implantable ClipUnited States Surgical, A Division of Tyco Healthc · 1993
  2. 11 generations between
  3. 3 generations backK173031 AtriClip LAA Exclusion System with Preloaded PRO·V ClipAtriCure, Inc. · 2017
  4. 2 generations backK180010 AtriClip FLEX-VAtriCure, Inc. · 2018
  5. 1 generation backK181474 ArtiClip LAA Exclusion SystemAtriCure, Inc. · 2018
  6. This deviceK191413 AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove Clip…AtriCure, Inc. · 2019
  7. Descendant · cites it directly · 5 of its ownK210293 AtriClip LAA Exclusion SystemAtriCure, Inc. · 2021
  8. Descendant · 2 generations on · 2 of its ownK220305 Syntheon LAA Exclusion System, Syntheon LAA Selection GuideSyntheon · 2022
  9. Descendant · 2 generations on · 1 of its ownK233407 AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove Clip…AtriCure, Inc. · 2023
  10. Descendant · 3 generations on · 1 of its ownK232295 LAA Exclusion SystemSyntheon, LLC · 2023
  11. Descendant · 2 generations on · 0 of its ownK254232 ECLIPTIS Left Atrial Appendage Exclusion System (ECS135); ECLIPTIS…Edwards Lifesciences · 2026
Show all 15 generations
  1. Root · 15 generations backK933887 Implantable ClipUnited States Surgical, A Division of Tyco Healthc · 1993
  2. 14 generations backK962043 Auto Suture Modified VCS Clip ApplierUnited States Surgical, A Division of Tyco Healthc · 1996 · Recalled
  3. 13 generations backK994160 Coalescent Surgical Sutured-ClipCoalescent Surgical · 2000
  4. 12 generations backK012317 Coalescent Surgical U-ClipCoalescent Surgical · 2001
  5. 11 generations backK013664 Coalescent Surgical U-ClipCoalescent Surgical · 2002
  6. 10 generations backK021407 Coalescent Surgical U-Clip - or Other TBD and AccessoriesCoalescent Surgical · 2002
  7. 9 generations backK023125 Coalescent U-Clip- and AccessoriesCoalescent Surgical · 2002
  8. 8 generations backK024366 Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical · 2003 · Recalled
  9. 7 generations backK031623 Modification to Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical · 2003 · Recalled
  10. 6 generations backK093679 Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove Clip…AtriCure, Inc. · 2010
  11. 5 generations backK122276 Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove ClipAtriCure, Inc. · 2012
  12. 4 generations backK153500 AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove PRO V…AtriCure, Inc. · 2016
  13. 3 generations backK173031 AtriClip LAA Exclusion System with Preloaded PRO·V ClipAtriCure, Inc. · 2017
  14. 2 generations backK180010 AtriClip FLEX-VAtriCure, Inc. · 2018
  15. 1 generation backK181474 ArtiClip LAA Exclusion SystemAtriCure, Inc. · 2018
  16. This deviceK191413 AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove Clip…AtriCure, Inc. · 2019

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2021: 12022: 12023: 22026: 2
2021high 2 (2023) · low 0 (2024)2026

Most influential descendants

Showing 5 of 6 · See all
  • K210293AtriClip LAA Exclusion SystemAtriCure, Inc. · 2021 · cites it directly5descendants
  • K220305Syntheon LAA Exclusion System, Syntheon LAA Selection GuideSyntheon · 2022 · 2 generations on2descendants
  • K233407AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove Clip (LAA0); AtriClip LAA…AtriCure, Inc. · 2023 · 2 generations on1descendant
  • K232295LAA Exclusion SystemSyntheon, LLC · 2023 · 3 generations on1descendant
  • K254232ECLIPTIS Left Atrial Appendage Exclusion System (ECS135); ECLIPTIS Left Atrial Appendage…Edwards Lifesciences · 2026 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K933887Implantable ClipUnited States Surgical, A Division of Tyco Healthc1993—
−14K962043Auto Suture Modified VCS Clip ApplierUnited States Surgical, A Division of Tyco Healthc19967
−13K994160Coalescent Surgical Sutured-ClipCoalescent Surgical2000—
−12K012317Coalescent Surgical U-ClipCoalescent Surgical2001—
−11K013664Coalescent Surgical U-ClipCoalescent Surgical2002—
−10K021407Coalescent Surgical U-Clip - or Other TBD and AccessoriesCoalescent Surgical2002—
−9K023125Coalescent U-Clip- and AccessoriesCoalescent Surgical2002—
−8K024366Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical20031
−7K031623Modification to Coalescent Surgical U-Clip and AccessoriesCoalescent Surgical20034
−6K093679Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove Clip…AtriCure, Inc.2010—
−5K122276Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove ClipAtriCure, Inc.2012—
−4K153500AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove PRO V ClipAtriCure, Inc.2016—
−3K173031AtriClip LAA Exclusion System with Preloaded PRO·V ClipAtriCure, Inc.2017—
−2K180010AtriClip FLEX-VAtriCure, Inc.2018—
−1K181474ArtiClip LAA Exclusion SystemAtriCure, Inc.2018—
0 (this device)K191413AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove Clip, AtriClip…AtriCure, Inc.2019—
+1K210293AtriClip LAA Exclusion SystemAtriCure, Inc.2021—
+2K220305Syntheon LAA Exclusion System, Syntheon LAA Selection GuideSyntheon2022—
+2K233407AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove Clip (LAA0)…AtriCure, Inc.2023—
+3K232295LAA Exclusion SystemSyntheon, LLC2023—
+2K254232ECLIPTIS Left Atrial Appendage Exclusion System (ECS135); ECLIPTIS Left Atrial…Edwards Lifesciences2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197710
198210
198410
198510
198920
199110
199240
199310
199450
199530
199670
199740
199830
199910
200050
200140
200230
200360
200420

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202110
202210
202320
202620
FIG. 1 — Lineage of K191413, 1993–2026Source: 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 PZX? 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 PZX device

  1. #1 K252917 ATLAAS (Atraumatic Left Atrial Appendage…score 16.8 · 19 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

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
*K181474ArtiClip LAA Exclusion System
Summary page 4
…nd Plastic Surgery Predicate Device: The device proposed for modification in this submission is the AtriClip LAA Exclusion System cleared via K181474 on June 28, 2018. The following reference devices were also used in this submission:  K093679 AtriClip LAA Exclusion Sys…
AtriCure, Inc.2018—
†K093679Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove Clip, Gillinov-Cosgrove…AtriCure, Inc.2010—
†K122276Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove ClipAtriCure, Inc.2012—
†K131107Atriclip Gillinov-Cosgrove Laa ClipAtriCure, Inc.2013—
†K142120Atriclip Laa Exclusion System with Preloaded Gillinov-Cosgrove ClipAtriCure, Inc.2014—
†K150996AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove ClipAtriCure, Inc.2015—
†K153500AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove PRO V ClipAtriCure, Inc.2016—
†K160454AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove ClipAtriCure, Inc.20162
†K163261AtriClip PRO, PRO2, and PRO V LAA Exclusion System devices with preloaded…AtriCure, Inc.2017—
†K172742AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove Clip (PRO2)AtriCure, Inc.2017—
†K173031AtriClip LAA Exclusion System with Preloaded PRO·V ClipAtriCure, Inc.2017—
†K180010AtriClip FLEX-VAtriCure, Inc.2018—

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K210293AtriClip LAA Exclusion SystemAtriCure, Inc.20215

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 26 years and passes through 3 companies; a new generation was cleared every 1.1 years on median.
  • 12 of the 70 ancestors have a recall of any class.
  • Of its descendants, K210293 (AtriCure, Inc., 2021) has gone furthest, with 5 descendants of its own.

How does its category compare?

All PZX devices

PZX Left Atrial Appendage Clip, Implantable: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · PZX

3so far in 2026, the most since 2007

2018: 12019: 12021: 12022: 12023: 22024: 12025: 12026 (partial year): 3
2007high 3 (2026) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PZX

179in 2026

2026 (partial year): 179 days median
2007high 179 (2026)2026

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

Recalls per year · PZX

No recall names PZX since 2007.

Adverse event reports per year · PZX

43in 2025

2021: 102022: 142023: 92024: 352025: 43
2007high 43 (2025) · low 0 (2007)2025

MAUDE reports naming product code PZX, 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—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20181—00
20191—00
20200—00
20211—010
20221—014
20232—09
20241—035
20251—043
202631790—

What is it indicated for?

The AtriClip LAA Exclusion System is indicated for the exclusion of the heart's left atrial appendage, performed under direct visualization and in conjunction with other cardiac surgical procedures.

Direct visualization, in this context, requires that the surgeon is able to see the heart directly, with or without assistance from a camera, endoscope, etc., or other appropriate viewing technologies.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191413: AtriClip LAA Exclusion System with preloaded Gillinov-Cosgrove Clip, AtriClip LAA Exclusion System with preloaded V-Clip.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K191413

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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