510(k) Report

510(k) · Cleared

Cleared

PuraStat-GI

K210098510(k) TraditionalCleared Jun 25, 2021162-day reviewClass II21 CFR 878.4456

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

3-D Matrix, Inc. · QAU Hemostatic Device For Endoscopic Gastrointestinal Use

Cleared on Jun 25, 2021 as substantially equivalent to DEN170015 (Wilson-Cook Medical, Inc., 2018) after a 162-day review. Its family tree reaches back 1 generation to 2018. 4 later devices descend from it.

Decided
Jun 25, 2021
Review
162 days
Class
Class II
Product code
QAU
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to DEN170015 (2018). 4 later devices descend from it, 1 citing it directly.

Descendants, by year cleared 2023: 1 descendant cleared2024: 1 descendant cleared2026: 2 descendants clearedReference device: K143058 · PuraDerm Gel · 3-D Matrix, Inc. · 2015DEN170015 · Hemospray Endoscopic Hemostat · Wilson-Cook Medical, Inc. · 2018201620182020202220242026
Descendants, by generation 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 2 descendants DEN170015 · Hemospray Endoscopic Hemostat · Wilson-Cook Medical, Inc. · 20180
  1. Root · 1 generation backDEN170015 Hemospray Endoscopic HemostatWilson-Cook Medical, Inc. · 2018
  2. This deviceK210098 PuraStat-GI3-D Matrix, Inc. · 2021
  3. Descendant · cites it directly · 3 of its ownK222481 PuraStat3-D Matrix, Inc. · 2023
  4. Descendant · 2 generations on · 2 of its ownK242250 PuraStat3-D Matrix Europe SAS · 2024
  5. Descendant · 3 generations on · 1 of its ownK253924 PuraStat3-D Matrix Europe SAS · 2026
  6. Descendant · 3 generations on · 0 of its ownK261503 PuraStat GI3-D Matrix, Inc. · 2026

Most influential descendants

Showing 4 of 4 · See all
  • K222481PuraStat3-D Matrix, Inc. · 2023 · cites it directly3descendants
  • K242250PuraStat3-D Matrix Europe SAS · 2024 · 2 generations on2descendants
  • K253924PuraStat3-D Matrix Europe SAS · 2026 · 3 generations on1descendant
  • K261503PuraStat GI3-D Matrix, Inc. · 2026 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1DEN170015Hemospray Endoscopic HemostatWilson-Cook Medical, Inc.2018—
0 (this device)K210098PuraStat-GI3-D Matrix, Inc.2021—
+1K222481PuraStat3-D Matrix, Inc.2023—
+2K242250PuraStat3-D Matrix Europe SAS2024—
+3K253924PuraStat3-D Matrix Europe SAS2026—
+3K261503PuraStat GI3-D Matrix, Inc.2026—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202410
202620
FIG. 1 — Lineage of K210098, 2018–2026Source: 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 QAU? 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 QAU device

  1. #1 K242250 PuraStatscore 14.8 · 3 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
*DEN170015Hemospray Endoscopic Hemostat
Summary page 4
…Class: II Product Code: QAU Panel: General & Plastic Surgery 3. PREDICATE DEVICE Predicate Device: Wilson-Cook Medical, Inc.’s Hemospray® Endoscopic Hemostat (DEN170015) Reference Device: 3-D Matrix, Inc.’s PuraDerm Gel (K143058) 4. DEVICE DESCRIPTION PuraStat-GI is a sterile gel compos…
Wilson-Cook Medical, Inc.2018—
†K143058PuraDerm Gel3-D Matrix, Inc.2015—

Also cleared against DEN170015: 4 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K222481PuraStat3-D Matrix, Inc.20233

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?

  • Its one ancestor has no recall.
  • Of its descendants, K222481 (3-D Matrix, Inc., 2023) has gone furthest, with 3 descendants of its own.
  • 4 other devices also cite its predicate DEN170015.

How does its category compare?

All QAU devices

QAU Hemostatic Device For Endoscopic Gastrointestinal Use: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · QAU

3in 2024

2018: 12020: 12021: 22022: 12023: 12024: 32026 (partial year): 3
2007high 3 (2024) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QAU

211in 2024

2024: 211 days median2026 (partial year): 89 days median
2007high 211 (2024)2026

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

Recalls per year · QAU

2in 2024

2024: 22026 (partial year): 1
2007high 2 (2024) · low 0 (2007)2026

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

Adverse event reports per year · QAU

121in 2025

2018: 562019: 2182020: 732021: 1122022: 1352023: 1322024: 1542025: 121
2007high 218 (2019) · low 0 (2007)2025

MAUDE reports naming product code QAU, 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—056
20190—0218
20201—073
20212—0112
20221—0135
20231—0132
202432112154
20250—0121
20263891—

What is it indicated for?

PuraStat-GI is intended for hemostasis of mild and moderate bleeding post ESD or EMR, as an adjunct, bridge, prophylactic or rescue therapy for intraprocedural venous bleeding or prophylactic therapy to prevent post procedure bleeding.

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. “K210098: PuraStat-GI.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K210098

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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