510(k) Report

510(k) · Cleared

Cleared

Vivally System Wearable, Non-Invasive Neuromodulation System and Mobile Application

K220454510(k) TraditionalCleared Apr 3, 2023410-day reviewClass II21 CFR 876.5310

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

Avation Medical, Inc. · NAM Stimulator, Peripheral Nerve, Non-Implanted, For Urinary Incontinence

Cleared on Apr 3, 2023 as substantially equivalent to K192731 (Exodus Innovations, 2021) after a 410-day review. Its family tree reaches back 4 generations to 2005.

Decided
Apr 3, 2023
Review
410 days
Class
Class II
Product code
NAM
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to K052025 (2005). No later device cites it as a predicate yet.

  1. Root · 4 generations backK052025 Urgent PC Neuromodulation SystemUroplasty, Inc. · 2005
  2. 3 generations backK061333 Urgent PC Neuromodulation System, Models UPC200-a and UPC250-12Uroplasty, Inc. · 2006
  3. 2 generations backK071822 Urgent PC Neuromodulation System, Models UPC200 and UPC250-12Uroplasty, Inc. · 2007
  4. 1 generation backK192731 ZIDA Wearable Neuromodulation SystemExodus Innovations · 2021
  5. This deviceK220454 Vivally System Wearable, Non-Invasive Neuromodulation System and…Avation Medical, Inc. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K052025Urgent PC Neuromodulation SystemUroplasty, Inc.2005—
−3K061333Urgent PC Neuromodulation System, Models UPC200-a and UPC250-12Uroplasty, Inc.2006—
−2K071822Urgent PC Neuromodulation System, Models UPC200 and UPC250-12Uroplasty, Inc.2007—
−1K192731ZIDA Wearable Neuromodulation SystemExodus Innovations2021—
0 (this device)K220454Vivally System Wearable, Non-Invasive Neuromodulation System and Mobile…Avation Medical, Inc.2023—
FIG. 1 — Lineage of K220454, 2005–2023Source: 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 NAM? 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 NAM device

  1. #1 K192731 ZIDA Wearable Neuromodulation Systemscore 4.6 · 3 generations · no Class I recall
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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
*K192731ZIDA Wearable Neuromodulation System
Summary page 4
…NAM 3. Predicate and Reference Devices Predicate Reference 510(k) Number K192731 K132561 Trade Name of the ZIDA Wearable NURO Neuromodulation…
Exodus Innovations2021—
†K132561Nuro Neuromodulation SystemAdvanced Uro-Solutions, Inc.2013—

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 18 years and passes through 3 companies; a new generation was cleared every 2.0 years on median.
  • None of the 4 ancestors has a recall.

How does its category compare?

All NAM devices

NAM Stimulator, Peripheral Nerve, Non-Implanted, For Urinary Incontinence: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · NAM

1in 2023

2007: 12010: 12013: 12021: 12023: 1
2007high 1 (2007) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NAM

Too few NAM 510(k)s in any year since 2007 to give a median.

Recalls per year · NAM

No recall names NAM since 2007.

Adverse event reports per year · NAM

3in 2023

2013: 12016: 262017: 522018: 42019: 22021: 22023: 3
2007high 52 (2017) · low 0 (2007)2025

MAUDE reports naming product code NAM, 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
20071—00
20080—00
20090—00
20101—00
20110—00
20120—00
20131—01
20140—00
20150—00
20160—026
20170—052
20180—04
20190—02
20200—00
20211—02
20220—00
20231—03
20240—00
20250—00
20260—0—

What is it indicated for?

The Vivally® System is a wearable neuromodulation system to treat patients with the bladder conditions of urge urinary incontinence and urinary urgency.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K220454: Vivally System Wearable, Non-Invasive Neuromodulation System and Mobile Application.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K220454

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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