510(k) Report

510(k) · Cleared

Cleared

Nexo-Gide Bilayer Collagen Membrane

K203496510(k) TraditionalCleared Jul 14, 2021229-day reviewClass II21 CFR 878.3300

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

Geistlich Pharma AG · FTM Mesh, Surgical

Cleared on Jul 14, 2021 as substantially equivalent to K053655 (Integra LifeSciences Corporation, 2006) after a 229-day review. Its family tree reaches back 2 generations to 2000.

Decided
Jul 14, 2021
Review
229 days
Class
Class II
Product code
FTM
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K000019 (2000). 3 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by generation 2 generations back: 1 other ancestor K053655 · Tendon Wrap Tendon Protector · Integra LifeSciences Corporation · 2006K000019 · Single Size Tendon Spacer · Medist International · 20000
  1. Root · 2 generations backK000019 Single Size Tendon SpacerMedist International · 2000
  2. 1 generation backK053655 Tendon Wrap Tendon ProtectorIntegra LifeSciences Corporation · 2006
  3. This deviceK203496 Nexo-Gide Bilayer Collagen MembraneGeistlich Pharma AG · 2021
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K000019Single Size Tendon SpacerMedist International2000—
−1K053655Tendon Wrap Tendon ProtectorIntegra LifeSciences Corporation2006—
0 (this device)K203496Nexo-Gide Bilayer Collagen MembraneGeistlich Pharma AG2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200410
FIG. 1 — Lineage of K203496, 2000–2021Source: 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 FTM? 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 FTM device

  1. #1 K262406 EluPro Antibiotic-Eluting BioEnvelopescore 15.1 · 12 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
*K053655Tendon Wrap Tendon Protector
Summary page 5
…Predicate Device Name: Tendon Wrap Tendon Protector Manufacturer: Integra LifeSciences 510(k) Number: K053655 Reference Devices: K192042 Bio-Gide, Geistlich Pharma AG 4. DEVICE DESCRIPTION The Geistlich N…
Integra LifeSciences Corporation2006—
†K192042Geistlich Bio-Gide, Geistlich Bio-Gide Shape, Geistlich Bio-Gide Compressed, Geistlich…Geistlich Pharma AG2019—
†K050446Bio-Gide Resorbable Bilayer Membrane for Guided Tissue and BoneEd. Geistlich Soehne AG Fuer Chemische Industrie2005—

Also cleared against K053655: 6 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)

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 21 years and passes through 3 companies; a new generation was cleared every 15.4 years on median.
  • 1 of the 3 ancestors has a recall of any class.
  • 6 other devices also cite its predicate K053655.

How does its category compare?

All FTM devices

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

FDA decisions per year · FTM

1in 2025

2007: 92008: 92009: 72010: 22011: 62012: 42013: 42014: 82015: 42016: 72017: 92018: 22019: 62020: 42021: 42023: 22024: 32025: 12026 (partial year): 1
2007high 9 (2007) · low 0 (2022)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FTM

29in 2024

2007: 104 days median2008: 86 days median2009: 86 days median2011: 100 days median2012: 66 days median2013: 123 days median2014: 153 days median2015: 316 days median2016: 88 days median2017: 147 days median2019: 107 days median2020: 59 days median2021: 61 days median2024: 29 days median
2007high 316 (2015) · low 29 (2024)2026

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

Recalls per year · FTM

1in 2023

2007: 72008: 12010: 12011: 82018: 212019: 42020: 12021: 12023: 1
2007high 21 (2018) · low 0 (2009)2026

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

Adverse event reports per year · FTM

232in 2025

2007: 602008: 1412009: 4762010: 1972011: 2882012: 4672013: 3,3512014: 1,0932015: 9772016: 5092017: 5292018: 3572019: 4182020: 4572021: 3692022: 3752023: 4852024: 3832025: 232
2007high 3,351 (2013) · low 60 (2007)2025

MAUDE reports naming product code FTM, 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
20079104760
20089861141
20097860476
20102—1197
201161008288
20124660467
2013412303,351
2014815301,093
201543160977
20167880509
201791470529
20182—21357
201961074418
20204591457
20214611369
20220—0375
20232—1485
20243290383
20251—0232
20261—0—

What is it indicated for?

The Nexo-Gide™ Bilayer Collagen Membrane is indicated for the management and protection of tendon injuries in which there has been no substantial loss of tendon tissue.

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. “K203496: Nexo-Gide Bilayer Collagen Membrane.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K203496

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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