510(k) Report

510(k) · Cleared

Cleared

Cionic Neural Sleeve NS-100

K221823510(k) SpecialCleared Jul 21, 202228-day reviewClass II21 CFR 882.5810

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

Cionic · GZI Stimulator, Neuromuscular, External Functional

Cleared on Jul 21, 2022 as substantially equivalent to K213622 (Cionic, 2022) after a 28-day review. Its family tree reaches back 12 generations to 1980. 1 later device descends from it.

Decided
Jul 21, 2022
Review
28 days
Class
Class II
Product code
GZI
Recalls
None
Predicates
1

Its longest line of descent runs back 12 generations to K800380 (1980). 26 ancestors in all. 1 later device descends from it, 1 citing it directly.

  1. Root · 12 generations backK800380 Fes Orthosis Model NO. 2000Empi · 1980
  2. 8 generations between
  3. 3 generations backK173682 L300 Go SystemBioness, Inc. · 2018
  4. 2 generations backK190285 L300 Go SystemBioness, Inc. · 2019
  5. 1 generation backK213622 Cionic Neural Sleeve NS-100Cionic · 2022
  6. This deviceK221823 Cionic Neural Sleeve NS-100Cionic · 2022
  7. Descendant · cites it directly · 0 of its ownK243828 Cionic Neural Sleeve (NS-200)Cionic, Inc. · 2025
Show all 12 generations
  1. Root · 12 generations backK800380 Fes Orthosis Model NO. 2000Empi · 1980
  2. 11 generations backK974514 External Functional Neuromuscular StimulatorNeuromotion, Inc. · 1998
  3. 10 generations backK050991 The Odfs Dropped Foot StimulatorDepartment of Medical Physics and Biomedical Eng. · 2005
  4. 9 generations backK053468 NESS L300Ness-Neuromuscular Electrical Stimulation Systems · 2006
  5. 8 generations backK080219 Modification to:Ness L300Ness-Neuromuscular Electrical Stimulation Systems · 2008
  6. 7 generations backK103343 L300 Plus System (Right, Left), L300 Plus System Upgrade Kit (Right…Bioness, Inc. · 2011
  7. 6 generations backK123972 Walkaide SystemInnovative Neurotronics, Inc. · 2013
  8. 5 generations backK140886 Walkaide SystemInnovative Neurotronics, Inc. · 2014
  9. 4 generations backK162407 L300 Go SystemBioness, Inc. · 2017
  10. 3 generations backK173682 L300 Go SystemBioness, Inc. · 2018
  11. 2 generations backK190285 L300 Go SystemBioness, Inc. · 2019
  12. 1 generation backK213622 Cionic Neural Sleeve NS-100Cionic · 2022
  13. This deviceK221823 Cionic Neural Sleeve NS-100Cionic · 2022

Most influential descendants

Showing 1 of 1 · See all
  • K243828Cionic Neural Sleeve (NS-200)Cionic, Inc. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K800380Fes Orthosis Model NO. 2000Empi1980—
−11K974514External Functional Neuromuscular StimulatorNeuromotion, Inc.1998—
−10K050991The Odfs Dropped Foot StimulatorDepartment of Medical Physics and Biomedical Eng.2005—
−9K053468NESS L300Ness-Neuromuscular Electrical Stimulation Systems2006—
−8K080219Modification to:Ness L300Ness-Neuromuscular Electrical Stimulation Systems2008—
−7K103343L300 Plus System (Right, Left), L300 Plus System Upgrade Kit (Right, Left)Bioness, Inc.2011—
−6K123972Walkaide SystemInnovative Neurotronics, Inc.2013—
−5K140886Walkaide SystemInnovative Neurotronics, Inc.2014—
−4K162407L300 Go SystemBioness, Inc.2017—
−3K173682L300 Go SystemBioness, Inc.2018—
−2K190285L300 Go SystemBioness, Inc.2019—
−1K213622Cionic Neural Sleeve NS-100Cionic2022—
0 (this device)K221823Cionic Neural Sleeve NS-100Cionic2022—
+1K243828Cionic Neural Sleeve (NS-200)Cionic, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198210
198610
198710
199110
199210
199620
199810
200210
200510
201110
201220

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K221823, 1980–2025Source: 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 GZI? 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 GZI device

  1. #1 K243828 Cionic Neural Sleeve (NS-200)score 12.9 · 13 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
*K213622Cionic Neural Sleeve NS-100
Summary page 5
…nic Neural Sleeve to support the Android operating system. Other design changes which are considered minor have been implemented to the subject device since the original K213622 clearance. These changes are minor software updates which were implemented to improve the application’s overall stability and per…
Cionic2022—

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K243828Cionic Neural Sleeve (NS-200)Cionic, Inc.20250

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 42 years and passes through 7 companies; a new generation was cleared every 1.9 years on median.
  • 1 of the 26 ancestors has a recall of any class.
  • Of its descendants, K243828 (Cionic, Inc., 2025) has gone furthest, with 0 descendants of its own.

How does its category compare?

All GZI devices

GZI Stimulator, Neuromuscular, External Functional: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · GZI

2in 2025

2007: 42008: 12009: 12011: 62012: 22013: 22014: 32015: 12016: 12017: 62018: 22019: 22020: 22021: 12022: 42023: 12024: 22025: 2
2007high 6 (2011) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GZI

110in 2022

2007: 81 days median2011: 139 days median2014: 299 days median2017: 168 days median2022: 110 days median
2007high 299 (2014) · low 81 (2007)2026

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

Recalls per year · GZI

1in 2008

2008: 1
2007high 1 (2008) · low 0 (2007)2026

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

Adverse event reports per year · GZI

3in 2025

2007: 12008: 22009: 82010: 12011: 32012: 22014: 22015: 32017: 22018: 12019: 42021: 12022: 32023: 12024: 12025: 3
2007high 8 (2009) · low 0 (2013)2025

MAUDE reports naming product code GZI, 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
200748101
20081—12
20091—08
20100—01
2011613903
20122—02
20132—00
2014329902
20151—03
20161—00
2017616802
20182—01
20192—04
20202—00
20211—01
2022411003
20231—01
20242—01
20252—03
20260—0—

What is it indicated for?

The Cionic Neural Sleeve NS-100 is intended to provide ankle dorsiflexion and/or plantarflexion in adult individuals with foot drop and/or to assist knee flexion or extension in adult individuals with muscle weakness related to upper motor neuron disease /injury (e.g. stroke, damage to pathways to the spinal cord). The Cionic Neural Sleeve NS-100 electrically stimulates muscles in the affected leg to provide ankle dorsiflexion and/or plantarflexion of…

Read the full statement (110 words)

The Cionic Neural Sleeve NS-100 is intended to provide ankle dorsiflexion and/or plantarflexion in adult individuals with

foot drop and/or to assist knee flexion or extension in adult individuals with muscle weakness related to upper motor

neuron disease /injury (e.g. stroke, damage to pathways to the spinal cord). The Cionic Neural Sleeve NS-100 electrically

stimulates muscles in the affected leg to provide ankle dorsiflexion and/or plantarflexion of the foot and/or knee flexion or

extension; thus, it also may improve the individual's gait.

The Cionic Neural Sleeve NS-100 may also:

- Facilitate muscle re-education

- Prevent/retard disuse atrophy

- Maintain or increase joint range of motion

- Increase local blood flow

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. “K221823: Cionic Neural Sleeve NS-100.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K221823

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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