510(k) Report

510(k) · Cleared

Cleared

Desara TV EZ 3.0 System, Desara Blue TV EZ 3.0 System, Desara TV EZ 2.7 System, Desara Blue TV EZ 2.7 System

K211975510(k) SpecialCleared Nov 10, 2021138-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

Caldera Medical, Inc. · OTN Mesh, Surgical, Synthetic, Urogynecologic, For Stress Urinary Incontinence, Retropubic Or Transobturator

Cleared on Nov 10, 2021 as substantially equivalent to K162201 (Caldera Medical, Inc., 2017) and 2 other predicates after a 138-day review. Its family tree reaches back 1 generation to 2017.

Decided
Nov 10, 2021
Review
138 days
Class
Class II
Product code
OTN
Recalls
None
Predicates
3

Its longest line of descent runs back 1 generation to K162201 (2017). 3 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2020: 1 other ancestor2018: 1 other ancestorK162201 · Desara TV, Desara Blue TV · Caldera Medical, Inc. · 20172016201820202022
Other ancestors, by generation 1 generation back: 2 other ancestors K162201 · Desara TV, Desara Blue TV · Caldera Medical, Inc. · 20170
  1. Root · 1 generation backK162201 Desara TV, Desara Blue TVCaldera Medical, Inc. · 2017
  2. This deviceK211975 Desara TV EZ 3.0 System, Desara Blue TV EZ 3.0 System, Desara TV EZ…Caldera Medical, Inc. · 2021
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K162201Desara TV, Desara Blue TVCaldera Medical, Inc.2017—
0 (this device)K211975Desara TV EZ 3.0 System, Desara Blue TV EZ 3.0 System, Desara TV EZ 2.7…Caldera Medical, Inc.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
201810
202010
FIG. 1 — Lineage of K211975, 2017–2021Source: 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 OTN? 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 OTN device

  1. #1 K231549 Advantage Ultra System, Advantage Fit Ultra…score 6.8 · 5 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? (3)

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
*K162201Desara TV, Desara Blue TV
Summary page 4
…Incontinence Classification Panel: Gastroenterology/Urology Predicate Device: Desara® TV and Desara® Blue TV, 510(k) #K162201 (Primary) Caldera Medical Surgical Mesh Instruments, #K172614 (Primary)…
Caldera Medical, Inc.2017—
*K172614Caldera Medical Transobturator Helical Introducer, Left; Caldera Medical Transobturator…
Summary page 4
…rology Predicate Device: Desara® TV and Desara® Blue TV, 510(k) #K162201 (Primary) Caldera Medical Surgical Mesh Instruments, #K172614 (Primary) Desara® One, 510(k) #K191416 (Reference) Description of Device: The Desara TV EZ and De…
Caldera Medical, Inc.2018—
*K191416Desara One Single Incision Sling System, 1 Pack ; Desara One Single Incision Sling…
Summary page 4
…510(k) #K162201 (Primary) Caldera Medical Surgical Mesh Instruments, #K172614 (Primary) Desara® One, 510(k) #K191416 (Reference) Description of Device: The Desara TV EZ and Desara Blue TV EZ Systems are comprised of sterile, single-use mid- ure…
Caldera Medical, Inc.2020—

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?

  • None of the 3 ancestors has a recall.

How does its category compare?

All OTN devices

OTN Mesh, Surgical, Synthetic, Urogynecologic, For Stress Urinary Incontinence, Retropubic Or Transobturator: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · OTN

1in 2023

2007: 22008: 32009: 22010: 52011: 42012: 12013: 52014: 12017: 12019: 12020: 12021: 32022: 22023: 12026 (partial year): 1
2007high 5 (2010) · low 0 (2015)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OTN

89in 2021

2008: 100 days median2010: 25 days median2011: 56 days median2013: 86 days median2021: 89 days median
2007high 100 (2008) · low 25 (2010)2026

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

Recalls per year · OTN

1in 2014

2014: 1
2007high 1 (2014) · low 0 (2007)2026

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

Adverse event reports per year · OTN

458in 2025

2010: 12011: 252012: 8742013: 19,0842014: 2,0632015: 3,9042016: 1,9022017: 6762018: 7372019: 2,4572020: 1,0032021: 2,6062022: 8092023: 1,0762024: 8222025: 458
2007high 19,084 (2013) · low 0 (2007)2025

MAUDE reports naming product code OTN, 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
20072—00
2008310000
20092—00
201052501
2011456025
20121—0874
2013586019,084
20141—12,063
20150—03,904
20160—01,902
20171—0676
20180—0737
20191—02,457
20201—01,003
202138902,606
20222—0809
20231—01,076
20240—0822
20250—0458
20261—0—

What is it indicated for?

Desara TV EZ and Desara Blue TV EZ are intended to be used in females to position a mesh for treatment of Genuine Stress Urinary Incontinence (SUI), mixed incontinence resulting from urethral hypermobility or intrinsic sphincter deficiency.

The 3.0mm or 2.7mm surgical mesh instruments are intended to be used in surgical procedures for the insertion and placement of Desara TV EZ and Desara Blue TV EZ surgical mesh indicated for treatment of Genuine Stress Urinary Incontinence (SUI), mixed incontinence resulting from urethral hypermobility or intrinsic sphincter deficiency.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K211975: Desara TV EZ 3.0 System, Desara Blue TV EZ 3.0 System, Desara TV EZ 2.7 System, Desara Blue TV EZ 2.7 System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K211975

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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