510(k) Report

510(k) · Cleared

Cleared

Sugita AVM Microclip Applier

K221524510(k) SpecialCleared Jun 24, 202229-day reviewClass II21 CFR 882.4175

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

Mizuho America, Inc. · HCI Applier, Aneurysm Clip

Cleared on Jun 24, 2022 as substantially equivalent to K211572 (Aesculap, Inc., 2021) after a 29-day review. Its family tree reaches back 7 generations to 1977.

Decided
Jun 24, 2022
Review
29 days
Class
Class II
Product code
HCI
Recalls
None
Predicates
1

Its longest line of descent runs back 7 generations to K772200 (1977). 22 ancestors in all, the oldest K760771 (1976). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2004: 1 other ancestor2001: 1 other ancestor2000: 1 other ancestor1999: 1 other ancestor1998: 1 other ancestor1995: 2 other ancestors1992: 2 other ancestors1984: 2 other ancestors1983: 1 other ancestor1976: 1 other ancestor1988: 1 other ancestor1979: 1 other ancestorReference device: K960037 · Sugita Avm Microclip · Mizuho America, Inc. · 1997K772200 · Yasargil Aneurysm Clips · Aesculap Instruments Corp. · 1977K955064 · Spetzler TI 100 Aneurysm Clip · Elekta Instruments, Inc. · 1996K970050 · Yasargil Titanium Aneurysm Clips (Ftxxxt) · Aesculap, Inc. · 1997K131500 · Yasargil Aneurysm Clips and Clip Appliers · Aesculap, Inc. · 2014×2: 2 generations cleared close together, K173271 (2017), K180914 (2018) K211572 · Aesculap Slim Clip Applier · Aesculap, Inc. · 202119801990200020102020
  1. Root · 7 generations backK772200 Yasargil Aneurysm ClipsAesculap Instruments Corp. · 1977
  2. 6 generations backK955064 Spetzler TI 100 Aneurysm ClipElekta Instruments, Inc. · 1996
  3. 5 generations backK970050 Yasargil Titanium Aneurysm Clips (Ftxxxt)Aesculap, Inc. · 1997
  4. 4 generations backK131500 Yasargil Aneurysm Clips and Clip AppliersAesculap, Inc. · 2014
  5. 3 generations backK173271 Aesculap Slim Clip Applier ForcepsAesculap, Inc. · 2017
  6. 2 generations backK180914 Aesculap Slim Clip ApplierAesculap, Inc. · 2018
  7. 1 generation backK211572 Aesculap Slim Clip ApplierAesculap, Inc. · 2021
  8. This deviceK221524 Sugita AVM Microclip ApplierMizuho America, Inc. · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K772200Yasargil Aneurysm ClipsAesculap Instruments Corp.1977—
−6K955064Spetzler TI 100 Aneurysm ClipElekta Instruments, Inc.1996—
−5K970050Yasargil Titanium Aneurysm Clips (Ftxxxt)Aesculap, Inc.1997—
−4K131500Yasargil Aneurysm Clips and Clip AppliersAesculap, Inc.2014—
−3K173271Aesculap Slim Clip Applier ForcepsAesculap, Inc.2017—
−2K180914Aesculap Slim Clip ApplierAesculap, Inc.2018—
−1K211572Aesculap Slim Clip ApplierAesculap, Inc.2021—
0 (this device)K221524Sugita AVM Microclip ApplierMizuho America, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197610
197910
198310
198420
198810
199220
199520
199810
199910
200010
200110
200410
FIG. 1 — Lineage of K221524, 1977–2022Source: 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.

Planning a device in HCI? 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 HCI device

  1. #1 K211572 Aesculap Slim Clip Applierscore 7.0 · 6 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
*K211572Aesculap Slim Clip Applier
Summary page 4
…neurysm Clip Applier Regulation number: 882.4175 Product Code: HCI Predicate Device: Aesculap Slim Clip Applier (K211572). Reference Device: Sugita AVM Microclip (K960037). Device Modification: The following changes have been made to the Su…
Aesculap, Inc.2021—
†K960037Sugita Avm MicroclipMizuho America, Inc.1997—

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 45 years and passes through 4 companies; a new generation was cleared every 3.7 years on median.
  • 1 of the 22 ancestors has a recall of any class.

How does its category compare?

All HCI devices

HCI Applier, Aneurysm Clip: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · HCI

1in 2022

2017: 12018: 12021: 12022: 1
2007high 1 (2017) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HCI

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

Recalls per year · HCI

2in 2007

2007: 2
2007high 2 (2007) · low 0 (2008)2026

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

Adverse event reports per year · HCI

1in 2025

2013: 272014: 12015: 12017: 22019: 62020: 22021: 62022: 12023: 22024: 32025: 1
2007high 27 (2013) · low 0 (2007)2025

MAUDE reports naming product code HCI, 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—20
20080—00
20090—00
20100—00
20110—00
20120—00
20130—027
20140—01
20150—01
20160—00
20171—02
20181—00
20190—06
20200—02
20211—06
20221—01
20230—02
20240—03
20250—01
20260—0—

What is it indicated for?

The Sugita AVM Microclip Applier is exclusively designed to place Sugita AVM Microclips during surgical procedures.

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. “K221524: Sugita AVM Microclip Applier.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K221524

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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