510(k) Report

510(k) · Cleared

Cleared

Delta III Pro

K221903510(k) TraditionalCleared Feb 22, 2023237-day reviewClass II21 CFR 876.5990

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

Dornier Medtech America, Inc. · LNS Lithotriptor, Extracorporeal Shock-Wave, Urological

Cleared on Feb 22, 2023 as substantially equivalent to K201074 (Dornier Medtech America, Inc., 2020) after a 237-day review. Its family tree reaches back 4 generations to 1984.

Decided
Feb 22, 2023
Review
237 days
Class
Class II
Product code
LNS
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to P840008 (1984). No later device cites it as a predicate yet.

  1. Root · 4 generations backP840008 Dornier Lithotripter Compact Transportable (DLCT)Dornier Medtech America, Inc. · 1984
  2. 3 generations backK170122 Delta III LithotripterDornier Medtech America · 2017
  3. 2 generations backK172084 Delta III LithotripterDornier Medtech America, Inc. · 2017
  4. 1 generation backK201074 Delta III LithotripterDornier Medtech America, Inc. · 2020
  5. This deviceK221903 Delta III ProDornier Medtech America, Inc. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4P840008Dornier Lithotripter Compact Transportable (DLCT)Dornier Medtech America, Inc.1984—
−3K170122Delta III LithotripterDornier Medtech America2017—
−2K172084Delta III LithotripterDornier Medtech America, Inc.2017—
−1K201074Delta III LithotripterDornier Medtech America, Inc.2020—
0 (this device)K221903Delta III ProDornier Medtech America, Inc.2023—
FIG. 1 — Lineage of K221903, 1984–2023Source: 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 LNS? 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 LNS device

  1. #1 K252913 Break Wavescore 15.5 · 7 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
*K201074Delta III Lithotripter
Summary page 4
…al shock wave lithotripters as Class II devices with special controls. The Product Code for these lithotripters is LNS. Predicate Device Dornier Delta Ill Lithotripter (K201074) Purpose of the 510(k) Notice The Delta Ill Pro Lithotripter that is the subject of this submission is a modification to the Dor…
Dornier Medtech America, 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?

  • The line of descent spans 39 years and passes through 2 companies; a new generation was cleared every 3.1 years on median.
  • None of the 4 ancestors has a recall.

How does its category compare?

All LNS devices

LNS Lithotriptor, Extracorporeal Shock-Wave, Urological: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · LNS

1in 2025

2007: 42008: 22009: 12011: 32012: 32013: 22014: 22015: 22017: 22020: 12021: 12023: 22025: 12026 (partial year): 2
2007high 4 (2007) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LNS

111in 2012

2007: 146 days median2011: 307 days median2012: 111 days median
2007high 307 (2011) · low 111 (2012)2026

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

Recalls per year · LNS

1in 2015

2015: 1
2007high 1 (2015) · low 0 (2007)2026

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

Adverse event reports per year · LNS

61in 2025

2007: 42008: 102009: 22010: 152011: 212012: 202013: 182014: 212015: 222016: 502017: 542018: 592019: 602020: 382021: 552022: 522023: 862024: 402025: 61
2007high 86 (2023) · low 2 (2009)2025

MAUDE reports naming product code LNS, 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
2007414604
20082—010
20091—02
20100—015
20113307021
20123111020
20132—018
20142—021
20152—122
20160—050
20172—054
20180—059
20190—060
20201—038
20211—055
20220—052
20232—086
20240—040
20251—061
20262—0—

What is it indicated for?

The Delta Ill Pro Lithotripter is indicated for the fragmentation of urinary tract stones, i.e., renal calyceal stones, renal pelvic stones, and upper ureteral stones.

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. “K221903: Delta III Pro.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K221903

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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