510(k) Report

510(k) · Cleared

Cleared

VPS Rhythm DLX Device with TipTracker Technology

K220363510(k) TraditionalCleared Aug 22, 2022195-day reviewClass II21 CFR 880.5970

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

Arrow International, LLC (A subsidiary of Teleflex, Inc.) · LJS Catheter, Intravascular, Therapeutic, Long-Term Greater Than 30 Days

Cleared on Aug 22, 2022 as substantially equivalent to K160925 (Arrow International, Inc. (A Subsidiary of Teleflex, Inc.), 2016) after a 195-day review. Its family tree reaches back 13 generations to 2000. 1 of the 37 devices in its family, counting itself, has a Class I recall.

Decided
Aug 22, 2022
Review
195 days
Class
Class II
Product code
LJS
Recalls
None
Predicates
1

Its longest line of descent runs back 13 generations to K001901 (2000). 36 ancestors in all, the oldest K823434 (1982). No later device cites it as a predicate yet. 1 of the 37 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2003: 1 other ancestor1984: 1 other ancestor2008: 1 other ancestor2006: 1 other ancestor2004: 1 other ancestor2002: 2 other ancestors2000: 1 other ancestor1997: 1 other ancestor1995: 2 other ancestors1992: 2 other ancestors1996: 2 other ancestors1994: 3 other ancestors1993: 1 other ancestor1991: 2 other ancestors1986: 1 other ancestor1982: 1 other ancestorReference device: K163443 · Interson USB Ultrasound System · Interson Corporation · 2017K001901 · Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath Midline Catheter, Model 3134135 · C.R. Bard, Inc. · 2000 · recalledK012902 · Poly Per-Q-Cath Single Lumen Picc Catheter, Model 3143100; Poly Per-Q-Cath Dual Lumen Picc Catheter, Model 3246100 · C.R. Bard, Inc. · 2001K031129 · Poly Per-Q-Cath Picc Catheters; Poly Radpicc · C.R. Bard, Inc. · 2003K034019 · Poly Per-Q-Cath Picc Catheters · C.R. Bard, Inc. · 2004 · recalledK060341 · Sherlock Tip Location System (TLS) · C.R. Bard, Inc. · 2006K063240 · Sherlock TLS Stylet, Sherlock TLS Detector · C.R. Bard, Inc. · 2006 · recalledK081625 · Flowpicc Stylet · Vasonova, Inc. · 2008K091324 · Sherlock 3CG Tip Positioning System, Sherlock 3CG Tip Positioning System Stylet · C.R. Bard, Inc. · 2009 · recalledK093775 · Evguide Tip Location System · Romedex International Srl · 2010K140799 · Celerity Sysyem · Medcomp (Medical Components, Inc.) · 2014 · recalledK142889 · Celerity PICC Tip Confirmation System · AngioDynamics, Inc. · 2015 · recalledK152261 · PICC Tip Positioning Aid · Nostix, LLC · 2015K160925 · VPS Rhythm Device with TipTracker Technology · Arrow International, Inc. (A Subsidiary of Teleflex, Inc.) · 2016 · Class I recall19801990200020102020
Other ancestors, by generation 5 generations back: 2 other ancestors6 generations back: 2 other ancestors7 generations back: 1 other ancestor8 generations back: 6 other ancestors9 generations back: 12 other ancestors K160925 · VPS Rhythm Device with TipTracker Technology · Arrow International, Inc. (A Subsidiary of Teleflex, Inc.) · 2016 · Class I recallK152261 · PICC Tip Positioning Aid · Nostix, LLC · 2015K142889 · Celerity PICC Tip Confirmation System · AngioDynamics, Inc. · 2015 · recalledK140799 · Celerity Sysyem · Medcomp (Medical Components, Inc.) · 2014 · recalledK093775 · Evguide Tip Location System · Romedex International Srl · 2010K091324 · Sherlock 3CG Tip Positioning System, Sherlock 3CG Tip Positioning System Stylet · C.R. Bard, Inc. · 2009 · recalledK081625 · Flowpicc Stylet · Vasonova, Inc. · 2008K063240 · Sherlock TLS Stylet, Sherlock TLS Detector · C.R. Bard, Inc. · 2006 · recalledK060341 · Sherlock Tip Location System (TLS) · C.R. Bard, Inc. · 2006K034019 · Poly Per-Q-Cath Picc Catheters · C.R. Bard, Inc. · 2004 · recalledK031129 · Poly Per-Q-Cath Picc Catheters; Poly Radpicc · C.R. Bard, Inc. · 2003K012902 · Poly Per-Q-Cath Single Lumen Picc Catheter, Model 3143100; Poly Per-Q-Cath Dual Lumen Picc Catheter, Model 3246100 · C.R. Bard, Inc. · 2001K001901 · Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath Midline Catheter, Model 3134135 · C.R. Bard, Inc. · 2000 · recalled−10−50
  1. Root · 13 generations backK001901 Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath…C.R. Bard, Inc. · 2000 · Recalled
  2. 9 generations between
  3. 3 generations backK142889 Celerity PICC Tip Confirmation SystemAngioDynamics, Inc. · 2015 · Recalled
  4. 2 generations backK152261 PICC Tip Positioning AidNostix, LLC · 2015
  5. 1 generation backK160925 VPS Rhythm Device with TipTracker TechnologyArrow International, Inc. (A Subsidiary of Teleflex, Inc.) · 2016 · Recalled (Class I)
  6. This deviceK220363 VPS Rhythm DLX Device with TipTracker TechnologyArrow International, LLC (A subsidiary of Teleflex, Inc.) · 2022
Show all 13 generations
  1. Root · 13 generations backK001901 Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath…C.R. Bard, Inc. · 2000 · Recalled
  2. 12 generations backK012902 Poly Per-Q-Cath Single Lumen Picc Catheter, Model 3143100; Poly…C.R. Bard, Inc. · 2001
  3. 11 generations backK031129 Poly Per-Q-Cath Picc Catheters; Poly RadpiccC.R. Bard, Inc. · 2003
  4. 10 generations backK034019 Poly Per-Q-Cath Picc CathetersC.R. Bard, Inc. · 2004 · Recalled
  5. 9 generations backK060341 Sherlock Tip Location System (TLS)C.R. Bard, Inc. · 2006
  6. 8 generations backK063240 Sherlock TLS Stylet, Sherlock TLS DetectorC.R. Bard, Inc. · 2006 · Recalled
  7. 7 generations backK081625 Flowpicc StyletVasonova, Inc. · 2008
  8. 6 generations backK091324 Sherlock 3CG Tip Positioning System, Sherlock 3CG Tip Positioning…C.R. Bard, Inc. · 2009 · Recalled
  9. 5 generations backK093775 Evguide Tip Location SystemRomedex International Srl · 2010
  10. 4 generations backK140799 Celerity SysyemMedcomp (Medical Components, Inc.) · 2014 · Recalled
  11. 3 generations backK142889 Celerity PICC Tip Confirmation SystemAngioDynamics, Inc. · 2015 · Recalled
  12. 2 generations backK152261 PICC Tip Positioning AidNostix, LLC · 2015
  13. 1 generation backK160925 VPS Rhythm Device with TipTracker TechnologyArrow International, Inc. (A Subsidiary of Teleflex, Inc.) · 2016 · Recalled (Class I)
  14. This deviceK220363 VPS Rhythm DLX Device with TipTracker TechnologyArrow International, LLC (A subsidiary of Teleflex, Inc.) · 2022

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K001901Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath Midline…C.R. Bard, Inc.20002
−12K012902Poly Per-Q-Cath Single Lumen Picc Catheter, Model 3143100; Poly Per-Q-Cath…C.R. Bard, Inc.2001—
−11K031129Poly Per-Q-Cath Picc Catheters; Poly RadpiccC.R. Bard, Inc.2003—
−10K034019Poly Per-Q-Cath Picc CathetersC.R. Bard, Inc.20041
−9K060341Sherlock Tip Location System (TLS)C.R. Bard, Inc.2006—
−8K063240Sherlock TLS Stylet, Sherlock TLS DetectorC.R. Bard, Inc.200618
−7K081625Flowpicc StyletVasonova, Inc.2008—
−6K091324Sherlock 3CG Tip Positioning System, Sherlock 3CG Tip Positioning System StyletC.R. Bard, Inc.200911
−5K093775Evguide Tip Location SystemRomedex International Srl2010—
−4K140799Celerity SysyemMedcomp (Medical Components, Inc.)20141
−3K142889Celerity PICC Tip Confirmation SystemAngioDynamics, Inc.20151
−2K152261PICC Tip Positioning AidNostix, LLC2015—
−1K160925VPS Rhythm Device with TipTracker TechnologyArrow International, Inc. (A Subsidiary of Teleflex, Inc.)2016Class I
0 (this device)K220363VPS Rhythm DLX Device with TipTracker TechnologyArrow International, LLC (A subsidiary of Teleflex, Inc.)2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198210
198410
198610
199120
199220
199310
199430
199520
199620
199710
200010
200220
200310
200410
200610
200810
FIG. 1 — Lineage of K220363, 2000–2022Source: 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.

1 device in this family has a Class I recall. 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 LJS device

  1. #1 K241910 Neonav ECG Tip Location Systemscore 18.0 · 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
*K160925VPS Rhythm Device with TipTracker Technology
Summary page 4
…Name VPS Rhythm® Device with TipTracker™ K160925 Arrow International Technology LLC Traditi…
Arrow International, Inc. (A Subsidiary of Teleflex, Inc.)2016Class I
†K163443Interson USB Ultrasound SystemInterson Corporation2017—

Also cleared against K160925: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K160925VPS Rhythm Device with TipTracker TechnologyArrow International, Inc. (A Subsidiary of Teleflex, Inc.) · 2016 · Direct predicate · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 22 years and passes through 8 companies; a new generation was cleared every 12 months on median.
  • 10 of the 36 ancestors have a recall of any class; 1 has a Class I recall.
  • 1 other device also cites its predicate K160925.

How does its category compare?

All LJS devices

LJS Catheter, Intravascular, Therapeutic, Long-Term Greater Than 30 Days: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · LJS

8in 2025

2007: 142008: 42009: 162010: 92011: 62012: 142013: 142014: 82015: 72016: 92017: 72018: 102020: 22021: 32022: 32023: 42024: 12025: 82026 (partial year): 2
2007high 16 (2009) · low 0 (2019)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LJS

171in 2025

2007: 92 days median2008: 97 days median2009: 70 days median2010: 114 days median2011: 55 days median2012: 77 days median2013: 31 days median2014: 47 days median2015: 71 days median2016: 128 days median2017: 101 days median2018: 148 days median2021: 284 days median2022: 177 days median2023: 47 days median2025: 171 days median
2007high 284 (2021) · low 31 (2013)2026

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

Recalls per year · LJS

5in 2023

2008: 12009: 12010: 122011: 42012: 402014: 152015: 22016: 182017: 92018: 32021: 12023: 5, 2 Class I2026 (partial year): 8, 1 Class I
2007high 40 (2012) · low 0 (2007)2026

Class I (3 since 2007) Class II/III not classified

Adverse event reports per year · LJS

4,372in 2025

2007: 3922008: 3692009: 3792010: 4952011: 6962012: 5642013: 6802014: 8422015: 1,3062016: 1,1232017: 2,1002018: 2,3242019: 2,0522020: 2,5392021: 3,0842022: 3,2562023: 2,7992024: 4,2432025: 4,372
2007high 4,372 (2025) · low 369 (2008)2025

MAUDE reports naming product code LJS, 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
200714920392
20084971369
200916701379
2010911412495
20116554696
2012147740564
201314310680
201484715842
201577121,306
20169128181,123
2017710192,100
20181014832,324
20190—02,052
20202—02,539
2021328413,084
2022317703,256
20234475 (2)2,799
20241—04,243
2025817104,372
20262—8 (1)—

What is it indicated for?

The VPS Rhythm® DLX Device is indicated for the positioning of central venous catheters including PICCs. It provides real-time catheter tip location information by using the patient's cardiac electrical activity. The VPS Rhythm DLX® Device is indicated for use as an alternative method to chest x-ray or fluoroscopy for confirmation of central venous catheter tip placement in adult patients. The TipTracker™ Technology is an optional accessory for use with…

Read the full statement (216 words)

The VPS Rhythm® DLX Device is indicated for the positioning of central venous catheters including PICCs. It provides

real-time catheter tip location information by using the patient's cardiac electrical activity. The VPS Rhythm DLX® Device is indicated for use as an alternative method to chest x-ray or fluoroscopy for confirmation of central venous catheter tip placement in adult patients.

The TipTracker™ Technology is an optional accessory for use with the VPS Rhythm® DLX Device, indicated for visual navigation of a peripherally inserted central catheter (PICC) as it is threaded through the vasculature. The TipTracker™ technology is used for catheter tip navigation purposes only; it is not used to determine final catheter tip placement.

For a catheter insertion procedure, ultrasound may optionally be used to assess the blood vessel to aid in selection of catheter size and visualize the blood vessel during initial insertion.

Note: In general, devices that utilize ECG technique to observe P-wave are limited, but not contraindicated, for patients where cardiac thythms may change presentation of the P-wave; including

- Atrial fibrillation

- Atrial flutter

- Severe tachycardia

- Pacemaker-driven rhythm

- Chronic obstructive pulmonary disease (COPD)

Such patients are easily identified prior to central catheter insertion. In these specific cases, use of an additional confirmation method is necessary to confirm catheter tip location.

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. “K220363: VPS Rhythm DLX Device with TipTracker Technology.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K220363

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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