510(k) Report

510(k) · Cleared

Cleared

DOUBLEFLO system

K203480510(k) TraditionalCleared Apr 5, 2021129-day reviewClass II21 CFR 888.1100

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

Hemodia Sas · HRX Arthroscope

Cleared on Apr 5, 2021 as substantially equivalent to K192921 (Hemodia Sas, 2020) after a 129-day review. Its family tree reaches back 3 generations to 1995. 1 later device descends from it.

Decided
Apr 5, 2021
Review
129 days
Class
Class II
Product code
HRX
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K954465 (1995). 4 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2000: 1 other ancestor2023: 1 descendant clearedK954465 · FMS Duo · Future Medical Systems, Inc. · 1995 · recalledK130169 · FMS Vue Fluid Managment System, FMS Connect Interface Cable · Depuy Mitek, A Johnson & Johnson Company · 2013K192921 · Zeos Aqua Vision Pump and tube · Hemodia Sas · 20201995200020052010201520202025
Other ancestors, by generationDescendants, by generation 3 generations back: 1 other ancestor 1 generation forward: 1 descendant K192921 · Zeos Aqua Vision Pump and tube · Hemodia Sas · 2020K130169 · FMS Vue Fluid Managment System, FMS Connect Interface Cable · Depuy Mitek, A Johnson & Johnson Company · 2013K954465 · FMS Duo · Future Medical Systems, Inc. · 1995 · recalled0
  1. Root · 3 generations backK954465 FMS DuoFuture Medical Systems, Inc. · 1995 · Recalled
  2. 2 generations backK130169 FMS Vue Fluid Managment System, FMS Connect Interface CableDepuy Mitek, A Johnson & Johnson Company · 2013
  3. 1 generation backK192921 Zeos Aqua Vision Pump and tubeHemodia Sas · 2020
  4. This deviceK203480 DOUBLEFLO systemHemodia Sas · 2021
  5. Descendant · cites it directly · 0 of its ownK221919 DOUBLEFLO INFLOW/OUTFLOW PUMP, accessories and tubing setsHemodia Sas · 2023

Most influential descendants

Showing 1 of 1 · See all
  • K221919DOUBLEFLO INFLOW/OUTFLOW PUMP, accessories and tubing setsHemodia Sas · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K954465FMS DuoFuture Medical Systems, Inc.19952
−2K130169FMS Vue Fluid Managment System, FMS Connect Interface CableDepuy Mitek, A Johnson & Johnson Company2013—
−1K192921Zeos Aqua Vision Pump and tubeHemodia Sas2020—
0 (this device)K203480DOUBLEFLO systemHemodia Sas2021—
+1K221919DOUBLEFLO INFLOW/OUTFLOW PUMP, accessories and tubing setsHemodia Sas2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
FIG. 1 — Lineage of K203480, 1995–2023Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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 HRX? 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 HRX device

  1. #1 K260203 Fule Vertebroplasty Balloon Catheterscore 14.9 · 11 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
*K192921Zeos Aqua Vision Pump and tube
Summary page 5
…Panel: Orthopedic Regulatory Class: II Product Code: HRX 51Ok # K203480 IV PREDICATE DEVICE K192921 - ZEOS Aqua Vision Pump and tubing sets Page 2 of 14 ===…
Hemodia Sas2020—

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K221919DOUBLEFLO INFLOW/OUTFLOW PUMP, accessories and tubing setsHemodia Sas20230

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 7.4 years on median.
  • 2 of the 4 ancestors have a recall of any class.
  • Of its descendants, K221919 (Hemodia Sas, 2023) has gone furthest, with 0 descendants of its own.

How does its category compare?

All HRX devices

HRX Arthroscope: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · HRX

9in 2025

2007: 72008: 92009: 112010: 92011: 32012: 112013: 122014: 92015: 42016: 82017: 42018: 122019: 122020: 72021: 72022: 32023: 42024: 62025: 92026 (partial year): 7
2007high 12 (2013) · low 3 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HRX

107in 2025

2007: 89 days median2008: 115 days median2009: 139 days median2010: 114 days median2011: 84 days median2012: 102 days median2013: 90 days median2014: 140 days median2015: 132 days median2016: 89 days median2017: 97 days median2018: 101 days median2019: 45 days median2020: 141 days median2021: 57 days median2022: 89 days median2023: 249 days median2024: 110 days median2025: 107 days median2026 (partial year): 217 days median
2007high 249 (2023) · low 45 (2019)2026

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

Recalls per year · HRX

1in 2024

2007: 32008: 132009: 232010: 122011: 62013: 42015: 72018: 12021: 32024: 1
2007high 23 (2009) · low 0 (2012)2026

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

Adverse event reports per year · HRX

2,076in 2025

2007: 4212008: 4412009: 5582010: 6122011: 6312012: 7782013: 6782014: 8022015: 7632016: 4692017: 9342018: 1,5812019: 1,6762020: 1,7062021: 1,9082022: 1,4062023: 1,8522024: 2,4272025: 2,076
2007high 2,427 (2024) · low 421 (2007)2025

MAUDE reports naming product code HRX, 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
20077893421
2008911513441
20091113923558
2010911412612
20113846631
2012111020778
201312904678
201491400802
201541327763
20168890469
20174970934
20181210111,581
2019124501,676
2020714101,706
202175731,908
202238901,406
2023424901,852
2024611012,427
2025910702,076
202672170—

What is it indicated for?

The DOUBLEFLO system represents an arthroscopy system using fluid from saline bags (0.9% NaCI). This arthroscopy system is intended to provide fluid distension and irrigation of the knee, shoulder, hip. elbow, ankle and wrist joint cavities, and fluid suction during arthroscopy procedures.

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. “K203480: DOUBLEFLO system.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K203480

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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