510(k) Report

510(k) · Cleared

Cleared

Nuvola

K222418510(k) TraditionalCleared Oct 7, 202258-day reviewClass II21 CFR 872.5470

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

Gruppo Europeo Ortodonzia Srl · NXC Aligner, Sequential

Cleared on Oct 7, 2022 as substantially equivalent to K220287 (Align Technology, Inc., 2022) after a 58-day review. Its family tree reaches back 6 generations to 1978. 2 later devices descend from it.

Decided
Oct 7, 2022
Review
58 days
Class
Class II
Product code
NXC
Recalls
None
Predicates
1

Its longest line of descent runs back 6 generations to K780619 (1978). 2 later devices descend from it, 2 citing it directly.

  1. Root · 6 generations backK780619 Preformed Tooth PositionerTp Laboratories, Inc. · 1978
  2. 5 generations backK981095 Align SystemAlign Technology · 1998
  3. 4 generations backK081960 Invisalign SystemAlign Technology · 2008
  4. 3 generations backK143630 Invisalign SystemAlign Technology, Inc. · 2015
  5. 2 generations backK181739 Invisalign System with Mandibular Advancement FeatureAlign Technology, Inc. · 2018
  6. 1 generation backK220287 Invisalign SystemAlign Technology, Inc. · 2022 · Recalled
  7. This deviceK222418 NuvolaGruppo Europeo Ortodonzia Srl · 2022
  8. Descendant · cites it directly · 0 of its ownK260722 SureSmile Aligner (ASSY500020)Dentsply Sirona, Inc. · 2026
  9. Descendant · cites it directly · 0 of its ownK242929 Fas Aligner SystemXplora 3D Europe S.L · 2024

Most influential descendants

Showing 2 of 2 · See all
  • K260722SureSmile Aligner (ASSY500020)Dentsply Sirona, Inc. · 2026 · cites it directly0descendants
  • K242929Fas Aligner SystemXplora 3D Europe S.L · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K780619Preformed Tooth PositionerTp Laboratories, Inc.1978—
−5K981095Align SystemAlign Technology1998—
−4K081960Invisalign SystemAlign Technology2008—
−3K143630Invisalign SystemAlign Technology, Inc.2015—
−2K181739Invisalign System with Mandibular Advancement FeatureAlign Technology, Inc.2018—
−1K220287Invisalign SystemAlign Technology, Inc.20221
0 (this device)K222418NuvolaGruppo Europeo Ortodonzia Srl2022—
+1K260722SureSmile Aligner (ASSY500020)Dentsply Sirona, Inc.2026—
+1K242929Fas Aligner SystemXplora 3D Europe S.L2024—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202610
FIG. 1 — Lineage of K222418, 1978–2026Source: 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 NXC? 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 NXC device

  1. #1 K220287 Invisalign Systemscore 20.3 · 5 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
*K220287Invisalign System
Summary page 4
…nvisalign System Name/Address of Sponsor Align Technology, Inc. , 2820 Orchard Parkway, San Jose, CA 95134 Trade/Proprietary Name Invisalign System (K220287) Common Name Aligner, Sequential Classification Name Orthodontic Plastic Bracket === Page 5…
Align Technology, Inc.20221
†K212496Ortho Aligner SystemOrtho Lab Services, LLC2021—
†K1520863Shape Ortho System3Shape A/S2016—
†K200125Thermoforming Sheet MaterialsErkodent Erich Kopp GmbH2020—

Also cleared against K220287: 5 other devices →

What descends from it? (2)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K260722SureSmile Aligner (ASSY500020)Dentsply Sirona, Inc.20260
K242929Fas Aligner SystemXplora 3D Europe S.L20240

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 44 years and passes through 4 companies; a new generation was cleared every 6.9 years on median.
  • 1 of the 6 ancestors has a recall of any class.
  • Of its descendants, K260722 (Dentsply Sirona, Inc., 2026) has gone furthest, with 0 descendants of its own.
  • 5 other devices also cite its predicate K220287.

How does its category compare?

All NXC devices

NXC Aligner, Sequential: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · NXC

11in 2025

2007: 12008: 22009: 22010: 12012: 22013: 42015: 22016: 12017: 32018: 112019: 162020: 162021: 202022: 192023: 132024: 142025: 112026 (partial year): 5
2007high 20 (2021) · low 0 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NXC

61in 2025

2013: 124 days median2017: 85 days median2018: 116 days median2019: 182 days median2020: 230 days median2021: 97 days median2022: 137 days median2023: 152 days median2024: 105 days median2025: 61 days median2026 (partial year): 127 days median
2007high 230 (2020) · low 61 (2025)2026

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

Recalls per year · NXC

2in 2024

2024: 2
2007high 2 (2024) · low 0 (2007)2026

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

Adverse event reports per year · NXC

4,523in 2025

2007: 12008: 52009: 22010: 112011: 592012: 242013: 282014: 272015: 432016: 412017: 472018: 672019: 1272020: 1752021: 9292022: 6052023: 4332024: 8,9912025: 4,523
2007high 8,991 (2024) · low 1 (2007)2025

MAUDE reports naming product code NXC, 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—01
20082—05
20092—02
20101—011
20110—059
20122—024
20134124028
20140—027
20152—043
20161—041
2017385047
201811116067
2019161820127
2020162300175
202120970929
2022191370605
2023131520433
20241410528,991
2025116104,523
202651270—

What is it indicated for?

Nuvola® aligner is intended for the orthodontic treatment of malocclusion

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. “K222418: Nuvola.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K222418

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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