510(k) Report

510(k) · Cleared

Recalled · Class II · 2023

Vivid S60N, Vivid S70N

K200497510(k) TraditionalCleared Jul 16, 2020139-day reviewClass II21 CFR 892.1550Recalls 2

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

GE Medical Systems Ultrasound and Primary Care Diagnostics · IYN System, Imaging, Pulsed Doppler, Ultrasonic

Cleared on Jul 16, 2020 as substantially equivalent to K182450 (GE Medical Systems Ultrasound and Primary Care Diagnostics, 2018) after a 139-day review. Its family tree reaches back 24 generations to 1995. 4 later devices descend from it. It has been recalled 2 times.

Decided
Jul 16, 2020
Review
139 days
Class
Class II
Product code
IYN
Recalls
2
Predicates
1

Its longest line of descent runs back 24 generations to K935595 (1995). 258 ancestors in all, the oldest K850478 (1985). 4 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2017: 2 other ancestors2016: 2 other ancestors2015: 5 other ancestors2014: 9 other ancestors2013: 5 other ancestors2012: 13 other ancestors2011: 10 other ancestors2010: 10 other ancestors2009: 6 other ancestors2008: 9 other ancestors2007: 12 other ancestors2006: 15 other ancestors2003: 16 other ancestors2005: 12 other ancestors2004: 19 other ancestors2002: 14 other ancestors2001: 9 other ancestors2000: 9 other ancestors1999: 13 other ancestors1995: 9 other ancestors1998: 5 other ancestors1997: 10 other ancestors1996: 6 other ancestors1994: 6 other ancestors1992: 1 other ancestor1990: 1 other ancestor1986: 1 other ancestor1985: 1 other ancestor1987: 1 other ancestor1993: 1 other ancestor1989: 2 other ancestors2021: 1 descendant cleared2022: 1 descendant cleared2023: 1 descendant cleared2026: 1 descendant clearedReference device: K181685 · Vivid E80, Vivid E90, Vivid E95 · GE Medical Systems Ultrasound and Primary Care Diagnostics · 2018Reference device: K163077 · LOGIQ E9, LOGIQ E9 XDClear 2.0 · GE Medical Systems Ultrasound and Primary Care Diagnostics · 2016Reference device: K170878 · Vivid S60N, Vivid S70N · GE Medical Systems Ultrasound & Primary Care Diagnostics, LLC · 2017 · recalledReference device: K051449 · GE Vivid 7 with or Without Suffix · GE Medical Systems · 2005K935595 · Acuson Model 3001 · Acuson Corp. · 1995K973767 · Harmonic Imaging with Contrast · Acuson Corp. · 1997K022567 · Sequoia Signature II Diagnostic Ultrasound System · Acuson Corp. · 2002K032114 · Sequoia 8.0 Diagnostic Ultrasound System · Siemens Medical Solutions USA, Inc. · 2003×3: 3 generations cleared close together, K041319 (2004), K042770 (2004), K050240 (2005) K052894 · Sonoline G60 S Ultrasound System · Siemens Medical Solutions USA, Inc. · 2005 · recalled×2: 2 generations cleared close together, K063138 (2006), K063803 (2007) K072786 · Acuson S2000 Ultrasound System · Siemens Medical Solutions USA, Inc. · 2007K083095 · Sonixtouch Ultrasound System · Ultrasonix Medical Corporation · 2008K092271 · GE Logiq E9 BT2010 Diagnostic Ultrasound System, Model 5205000-3, 5205000-4 · GE Healthcare · 2009 · recalledK110943 · Logiq E9 · GE Healthcare · 2011 · recalled×2: 2 generations cleared close together, K113690 (2011), K120741 (2012) ×2: 2 generations cleared close together, K131267 (2013), K132913 (2013) K142472 · Voluson E6 / Voluson E8 / Voluson E10 Diagnostic Ultrasound Systems · GE Healthcare · 2015×2: 2 generations cleared close together, K152567 (2015), K160184 (2016) K161706 · Vivid iq · Ge Medical Systems Ultrasound and Primary Care Diagnostics L · 2016K170878 · Vivid S60N, Vivid S70N · GE Medical Systems Ultrasound & Primary Care Diagnostics, LLC · 2017 · recalledK182450 · Vivid S60N, Vivid S70N · GE Medical Systems Ultrasound and Primary Care Diagnostics · 2018 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors3 generations back: 5 other ancestors4 generations back: 10 other ancestors5 generations back: 26 other ancestors6 generations back: 24 other ancestors7 generations back: 38 other ancestors8 generations back: 45 other ancestors9 generations back: 28 other ancestors10 generations back: 17 other ancestors11 generations back: 11 other ancestors12 generations back: 9 other ancestors13 generations back: 9 other ancestors14 generations back: 8 other ancestors15 generations back: 2 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 1 descendant4 generations forward: 1 descendant K182450 · Vivid S60N, Vivid S70N · GE Medical Systems Ultrasound and Primary Care Diagnostics · 2018 · recalledK170878 · Vivid S60N, Vivid S70N · GE Medical Systems Ultrasound & Primary Care Diagnostics, LLC · 2017 · recalledK161706 · Vivid iq · Ge Medical Systems Ultrasound and Primary Care Diagnostics L · 2016K160184 · Voluson S6, Voluson S8, Voluson S10 · GE Healthcare · 2016 · recalledK152567 · Voluson E6, Voluson E8, Voluson E10 Diagnostic Ultrasound System · GE Healthcare · 2015K142472 · Voluson E6 / Voluson E8 / Voluson E10 Diagnostic Ultrasound Systems · GE Healthcare · 2015K132913 · Voluson E6 / E8 / E8EXPERT / E8EXPERT Limited Edition / E10 · GE Healthcare · 2013K131267 · Voluson E6/E8/E8EXPERT/E8EXPERT Limited Edition/E10 · GE Healthcare · 2013K120741 · Voluson S6, Voluson S8 · GE Healthcare · 2012K113690 · GE Logiq I, Logiq E and Vivid E · GE Healthcare · 2011 · recalledK110943 · Logiq E9 · GE Healthcare · 2011 · recalledK092271 · GE Logiq E9 BT2010 Diagnostic Ultrasound System, Model 5205000-3, 5205000-4 · GE Healthcare · 2009 · recalledK083095 · Sonixtouch Ultrasound System · Ultrasonix Medical Corporation · 2008K072786 · Acuson S2000 Ultrasound System · Siemens Medical Solutions USA, Inc. · 2007K063803 · Acuson Antares Diagnostic Ultrasound System · Siemens Medical Solutions USA, Inc., Ultrasound DI · 2007 · recalledK063138 · Modification to Acuson Antares Ultrasound System · Siemens Medical Solutions USA, Inc. · 2006K052894 · Sonoline G60 S Ultrasound System · Siemens Medical Solutions USA, Inc. · 2005 · recalledK050240 · Modification to Acuson CV70 Cardiovascular System · Siemens Medical Solutions USA, Inc. · 2005 · recalledK042770 · Modification to Acuson CV70 Cardiovascular System · Siemens Medical Solutions USA, Inc. · 2004 · recalledK041319 · Sequoia Diagnostic Ultrasound System · Siemens Medical Solutions USA, Inc. · 2004K032114 · Sequoia 8.0 Diagnostic Ultrasound System · Siemens Medical Solutions USA, Inc. · 2003K022567 · Sequoia Signature II Diagnostic Ultrasound System · Acuson Corp. · 2002K973767 · Harmonic Imaging with Contrast · Acuson Corp. · 1997K935595 · Acuson Model 3001 · Acuson Corp. · 1995−20−15−10−50
  1. Root · 24 generations backK935595 Acuson Model 3001Acuson Corp. · 1995
  2. 20 generations between
  3. 3 generations backK161706 Vivid iqGe Medical Systems Ultrasound and Primary Care Diagnostics L · 2016
  4. 2 generations backK170878 Vivid S60N, Vivid S70NGE Medical Systems Ultrasound & Primary Care Diagnostics, LLC · 2017 · Recalled
  5. 1 generation backK182450 Vivid S60N, Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics · 2018 · Recalled
  6. This deviceK200497 Vivid S60N, Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics · 2020
  7. Descendant · cites it directly · 3 of its ownK211216 Vivid S60N / Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics · 2021 · Recalled
  8. Descendant · 2 generations on · 2 of its ownK220619 Vivid S60N, Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics · 2022 · Recalled
  9. Descendant · 3 generations on · 1 of its ownK223832 Vivid S60N, Vivid S70NGe Medical System Ultrasound and Primary Care Diagnostics · 2023 · Recalled
  10. Descendant · 4 generations on · 0 of its ownK261313 Vivid Explorer/Vivid Advanced/Vivid FocusGE Medical Systems Ultrasound and Primary Care Diagnostics · 2026
Show all 24 generations
  1. Root · 24 generations backK935595 Acuson Model 3001Acuson Corp. · 1995
  2. 23 generations backK973767 Harmonic Imaging with ContrastAcuson Corp. · 1997
  3. 22 generations backK022567 Sequoia Signature II Diagnostic Ultrasound SystemAcuson Corp. · 2002
  4. 21 generations backK032114 Sequoia 8.0 Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2003
  5. 20 generations backK041319 Sequoia Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2004
  6. 19 generations backK042770 Modification to Acuson CV70 Cardiovascular SystemSiemens Medical Solutions USA, Inc. · 2004 · Recalled
  7. 18 generations backK050240 Modification to Acuson CV70 Cardiovascular SystemSiemens Medical Solutions USA, Inc. · 2005 · Recalled
  8. 17 generations backK052894 Sonoline G60 S Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2005 · Recalled
  9. 16 generations backK063138 Modification to Acuson Antares Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2006
  10. 15 generations backK063803 Acuson Antares Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc., Ultrasound DI · 2007 · Recalled
  11. 14 generations backK072786 Acuson S2000 Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2007
  12. 13 generations backK083095 Sonixtouch Ultrasound SystemUltrasonix Medical Corporation · 2008
  13. 12 generations backK092271 GE Logiq E9 BT2010 Diagnostic Ultrasound System, Model 5205000-3…GE Healthcare · 2009 · Recalled
  14. 11 generations backK110943 Logiq E9GE Healthcare · 2011 · Recalled
  15. 10 generations backK113690 GE Logiq I, Logiq E and Vivid EGE Healthcare · 2011 · Recalled
  16. 9 generations backK120741 Voluson S6, Voluson S8GE Healthcare · 2012
  17. 8 generations backK131267 Voluson E6/E8/E8EXPERT/E8EXPERT Limited Edition/E10GE Healthcare · 2013
  18. 7 generations backK132913 Voluson E6 / E8 / E8EXPERT / E8EXPERT Limited Edition / E10GE Healthcare · 2013
  19. 6 generations backK142472 Voluson E6 / Voluson E8 / Voluson E10 Diagnostic Ultrasound SystemsGE Healthcare · 2015
  20. 5 generations backK152567 Voluson E6, Voluson E8, Voluson E10 Diagnostic Ultrasound SystemGE Healthcare · 2015
  21. 4 generations backK160184 Voluson S6, Voluson S8, Voluson S10GE Healthcare · 2016 · Recalled
  22. 3 generations backK161706 Vivid iqGe Medical Systems Ultrasound and Primary Care Diagnostics L · 2016
  23. 2 generations backK170878 Vivid S60N, Vivid S70NGE Medical Systems Ultrasound & Primary Care Diagnostics, LLC · 2017 · Recalled
  24. 1 generation backK182450 Vivid S60N, Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics · 2018 · Recalled
  25. This deviceK200497 Vivid S60N, Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics · 2020

Most influential descendants

Showing 4 of 4 · See all
  • K211216Vivid S60N / Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics · 2021 · cites it directly3descendants
  • K220619Vivid S60N, Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics · 2022 · 2 generations on2descendants
  • K223832Vivid S60N, Vivid S70NGe Medical System Ultrasound and Primary Care Diagnostics · 2023 · 3 generations on1descendant
  • K261313Vivid Explorer/Vivid Advanced/Vivid FocusGE Medical Systems Ultrasound and Primary Care Diagnostics · 2026 · 4 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−24K935595Acuson Model 3001Acuson Corp.1995—
−23K973767Harmonic Imaging with ContrastAcuson Corp.1997—
−22K022567Sequoia Signature II Diagnostic Ultrasound SystemAcuson Corp.2002—
−21K032114Sequoia 8.0 Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc.2003—
−20K041319Sequoia Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc.2004—
−19K042770Modification to Acuson CV70 Cardiovascular SystemSiemens Medical Solutions USA, Inc.20041
−18K050240Modification to Acuson CV70 Cardiovascular SystemSiemens Medical Solutions USA, Inc.20051
−17K052894Sonoline G60 S Ultrasound SystemSiemens Medical Solutions USA, Inc.20051
−16K063138Modification to Acuson Antares Ultrasound SystemSiemens Medical Solutions USA, Inc.2006—
−15K063803Acuson Antares Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc., Ultrasound DI20079
−14K072786Acuson S2000 Ultrasound SystemSiemens Medical Solutions USA, Inc.2007—
−13K083095Sonixtouch Ultrasound SystemUltrasonix Medical Corporation2008—
−12K092271GE Logiq E9 BT2010 Diagnostic Ultrasound System, Model 5205000-3, 5205000-4GE Healthcare20091
−11K110943Logiq E9GE Healthcare20112
−10K113690GE Logiq I, Logiq E and Vivid EGE Healthcare20111
−9K120741Voluson S6, Voluson S8GE Healthcare2012—
−8K131267Voluson E6/E8/E8EXPERT/E8EXPERT Limited Edition/E10GE Healthcare2013—
−7K132913Voluson E6 / E8 / E8EXPERT / E8EXPERT Limited Edition / E10GE Healthcare2013—
−6K142472Voluson E6 / Voluson E8 / Voluson E10 Diagnostic Ultrasound SystemsGE Healthcare2015—
−5K152567Voluson E6, Voluson E8, Voluson E10 Diagnostic Ultrasound SystemGE Healthcare2015—
−4K160184Voluson S6, Voluson S8, Voluson S10GE Healthcare20161
−3K161706Vivid iqGe Medical Systems Ultrasound and Primary Care Diagnostics L2016—
−2K170878Vivid S60N, Vivid S70NGE Medical Systems Ultrasound & Primary Care Diagnostics, LLC20172
−1K182450Vivid S60N, Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics20182
0 (this device)K200497Vivid S60N, Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics2020—
+1K211216Vivid S60N / Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics20212
+2K220619Vivid S60N, Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics20222
+3K223832Vivid S60N, Vivid S70NGe Medical System Ultrasound and Primary Care Diagnostics20232
+4K261313Vivid Explorer/Vivid Advanced/Vivid FocusGE Medical Systems Ultrasound and Primary Care Diagnostics2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198510
198610
198710
198920
199010
199210
199310
199460
199590
199660
1997100
199850
1999130
200090
200190
2002140
2003160
2004190
2005120
2006150
2007120
200890
200960
2010100
2011100
2012130
201350
201490
201550
201620
201720

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202110
202210
202310
202610
FIG. 1 — Lineage of K200497, 1995–2026Source: 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 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
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
*K182450Vivid S60N, Vivid S70N
Summary page 4
…1CFR 892.1550 90- IYN; Ultrasonic Pulsed Echo Imaging System, 21CFR 892.1560, 90-1YO; Diagnostic Ultrasound Transducer, 21 CFR 892.1570, 90-ITX Vivid S60N, Vivid S7TON (K182450) Vivid E95 (K181685) LOGIQ E9 (K163077) Vivid S60N, Vivid S7ON (K170878) Vivid 7 (K051449) Vivid S60N / Vivid S7TON is a Tra…
GE Medical Systems Ultrasound and Primary Care Diagnostics20182
†K181685Vivid E80, Vivid E90, Vivid E95GE Medical Systems Ultrasound and Primary Care Diagnostics2018—
†K163077LOGIQ E9, LOGIQ E9 XDClear 2.0GE Medical Systems Ultrasound and Primary Care Diagnostics2016—
†K170878Vivid S60N, Vivid S70NGE Medical Systems Ultrasound & Primary Care Diagnostics, LLC20172
†K051449GE Vivid 7 with or Without SuffixGE Medical Systems2005—

Also cleared against K182450: 1 other device →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K211216Vivid S60N / Vivid S70NGE Medical Systems Ultrasound and Primary Care Diagnostics20213

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
May 30, 2023Class IIZ-2127-2023Process designGE HealthCare has become aware that certain Vivid ultrasound systems cannot boot up in a timely fashion. If this occurs, it can delay availability of the device in time-critical emergency situations.
May 30, 2023Class IIZ-2126-2023Process designGE HealthCare has become aware that certain Vivid ultrasound systems cannot boot up in a timely fashion. If this occurs, it can delay availability of the device in time-critical emergency situations.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 25 years and passes through 8 companies; a new generation was cleared every 11 months on median.
  • 72 of the 258 ancestors have a recall of any class.
  • Of its descendants, K211216 (GE Medical Systems Ultrasound and Primary Care Diagnostics, 2021) has gone furthest, with 3 descendants of its own.
  • 1 other device also cites its predicate K182450.

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. 2020, 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?

Vivid S60N/Vivid S70N is a general-purpose ultrasound system, specialized for use in cardiac imaging. It is intended for use by, or under the direction of a qualified and trained physician for ultrasound imaging, measurement, display and analysis of the human body and fluid. The device is intended for use in a hospital environment including echo lab, other hospital settings, operating room, Cath lab and EP lab or in private medical offices. The systems…

Read the full statement (158 words)

Vivid S60N/Vivid S70N is a general-purpose ultrasound system, specialized for use in cardiac imaging. It is intended for use by, or under the direction of a qualified and trained physician for ultrasound imaging, measurement, display and analysis of the human body and fluid. The device is intended for use in a hospital environment including echo lab, other hospital settings, operating room, Cath lab and EP lab or in private medical offices. The systems support the following clinical applications: Fetal/Obstetrics, Abdominal (including renal, GYN), Pediatric, Small Organ (breast, testes, thyroid), Neonatal Cephalic, Adult Cephalic, Cardiac (adult and pediatric), Peripheral Vascular, Musculo-skeletal Conventional, Musculo-skeletal Superficial, Urology (including prostate), Transesophageal, Transvaginal, Transrectal, Intra-cardiac and Intra-luminal, Interventional Guidance (including Biopsy, Vascular Access), and Intraoperative (vascular). Modes of operation include: 3D/4D Imaging mode, B, M, PW Doppler, CW Doppler, Color Doppler, Color M Doppler, Power Doppler, Harmonic Imaging, Coded Pulse and Combined modes: B/M, B/Color M, B/PWD or CWD, B/Color/PWD or CWD, B/Power/PWD.

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. “K200497: Vivid S60N, Vivid S70N.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K200497

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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