510(k) Report

510(k) · Cleared

Recalled · Class II · 2024

Medline ReNewal Reprocessed Harmonic ACE+7 Shears

K193563510(k) TraditionalCleared Aug 19, 2020240-day reviewClass URecalls 2

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

Surgical Instrument Service and Savings Inc.(Dba Medline Ren · NLQ Single-Use Reprocessed Ultrasonic Surgical Instruments

Cleared on Aug 19, 2020 as substantially equivalent to K132612 (Ethicon Endo-Surgery, LLC, 2013) after a 240-day review. Its family tree reaches back 3 generations to 2007. It has been recalled 2 times.

Decided
Aug 19, 2020
Review
240 days
Class
Class U
Product code
NLQ
Recalls
2
Predicates
1

Its longest line of descent runs back 3 generations to K072177 (2007). 6 ancestors in all, the oldest K060245 (2006). No later device cites it as a predicate yet.

  1. Root · 3 generations backK072177 Enseal Vessel Sealing and Hemostasis SystemSurgrx, Inc. · 2007 · Recalled
  2. 2 generations backK112033 Enseal G2 Tissus SealersEthicon Endo-Sugery, LLC · 2011 · Recalled
  3. 1 generation backK132612 Harmonic Ace+ Shears 23 CM Length with Advanced Hemostasis, Harmonic…Ethicon Endo-Surgery, LLC · 2013 · Recalled
  4. This deviceK193563 Medline ReNewal Reprocessed Harmonic ACE+7 ShearsSurgical Instrument Service and Savings Inc.(Dba Medline Ren · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K072177Enseal Vessel Sealing and Hemostasis SystemSurgrx, Inc.20071
−2K112033Enseal G2 Tissus SealersEthicon Endo-Sugery, LLC20115
−1K132612Harmonic Ace+ Shears 23 CM Length with Advanced Hemostasis, Harmonic Ace +…Ethicon Endo-Surgery, LLC20131
0 (this device)K193563Medline ReNewal Reprocessed Harmonic ACE+7 ShearsSurgical Instrument Service and Savings Inc.(Dba Medline Ren2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200610
200710
201210
FIG. 1 — Lineage of K193563, 2007–2020Source: 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 NLQ? 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 NLQ device

  1. #1 K233471 Reprocessed HARMONIC 1100 Shears, 5mm…score 12.9 · 11 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
*K132612Harmonic Ace+ Shears 23 CM Length with Advanced Hemostasis, Harmonic Ace + Laparoscopic…
Summary page 6
…classified Product Code NLQ Panel General & Plastic Surgery 510(k) Number K132612 HARMONIC ACE+ SHEARS 23 CM LENGTH WITH Proprietary or ADVA…
Ethicon Endo-Surgery, LLC20131

Also cleared against K132612: 7 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)

Recalls of this device

DateClassRecallRoot causeReason
May 7, 2024Class IIZ-3095-2024Under Investigation by firmPotential for an incomplete seal on the packaging tray.
Aug 3, 2023Class IIZ-0120-2024PackagingVarious reprocessed Covidien LigaSure and Ethicon Harmonic devices may have an incomplete seal on the packaging tray.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 13 years and passes through 4 companies; a new generation was cleared every 4.2 years on median.
  • 3 of the 6 ancestors have a recall of any class.
  • 7 other devices also cite its predicate K132612.

How does its category compare?

All NLQ devices

NLQ Single-Use Reprocessed Ultrasonic Surgical Instruments: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · NLQ

1in 2025

2009: 12010: 22012: 12014: 32015: 22016: 12017: 32018: 12019: 22020: 12021: 12024: 22025: 1
2007high 3 (2014) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NLQ

94in 2017

2014: 303 days median2017: 94 days median
2007high 303 (2014) · low 94 (2017)2026

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

Recalls per year · NLQ

1in 2025

2008: 12023: 12025: 1
2007high 1 (2008) · low 0 (2007)2026

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

Adverse event reports per year · NLQ

44in 2025

2007: 172008: 252009: 122010: 332011: 582012: 1132013: 1112014: 632015: 932016: 722017: 872018: 562019: 452020: 282021: 402022: 312023: 162024: 192025: 44
2007high 113 (2012) · low 12 (2009)2025

MAUDE reports naming product code NLQ, 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—017
20080—125
20091—012
20102—033
20110—058
20121—0113
20130—0111
20143303063
20152—093
20161—072
2017394087
20181—056
20192—045
20201—028
20211—040
20220—031
20230—116
20242—019
20251—144
20260—0—

What is it indicated for?

The Medline ReNewal Harmonic ACE+7 Shears are indicated for soft tissue incisions when bleeding control and minimal thermal injury are desired. The instruments can be used as an adjunct to or substitute for electrosurgery, lasers and steel scalpels in general, plastic, pediatric, gynecologic, urologic, thoracic, exposure to orthopedic structures (such as spine and joint space), sealing and transection of lymphatic vessels, and other open and endoscopic procedures. The instruments allow for the coagulation of vessels up to and including 7 mm in diameter using the Advanced Hemostasis hand control button.

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. “K193563: Medline ReNewal Reprocessed Harmonic ACE+7 Shears.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K193563

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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