510(k) Report

510(k) · Cleared

Cleared

Axoguard HA+ Nerve Protector (AGHA12); Axoguard HA+ Nerve Protector (AGHA22); Axoguard HA+ Nerve Protector (AGHA24); Axoguard HA+ Nerve Protector (AGHA36); Axoguard HA+ Nerve Protector (AGHA48)

K223640510(k) TraditionalCleared Apr 7, 2023123-day reviewClass II21 CFR 882.5275

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

Axogen Corporation · JXI Cuff, Nerve

Cleared on Apr 7, 2023 as substantially equivalent to K132660 (Cook Biotech Incorporated, 2014) after a 123-day review. Its family tree reaches back 5 generations to 1992. 2 later devices descend from it.

Decided
Apr 7, 2023
Review
123 days
Class
Class II
Product code
JXI
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K921895 (1992). 12 ancestors in all, the oldest K830889 (1983). 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 2 other ancestors2000: 1 other ancestor1997: 1 other ancestor1985: 1 other ancestor1983: 1 other ancestor1992: 1 other ancestor2023: 1 descendant cleared2025: 1 descendant clearedK921895 · Tissue Patch, Tissue Graft · Bio-Vascular, Inc. · 1992K961810 · Supple Peri-Guard Pericardium · Bio-Vascular, Inc. · 1996K980431 · Surgisis · Cook Biotech, Inc. · 1998K031069 · Surgisis Nerve Cuff · Cook Biotech, Inc. · 2003K132660 · Nerve Cuff · Cook Biotech Incorporated · 201419801990200020102020
Other ancestors, by generationDescendants, by generation 3 generations back: 3 other ancestors4 generations back: 3 other ancestors5 generations back: 1 other ancestor 1 generation forward: 2 descendants K132660 · Nerve Cuff · Cook Biotech Incorporated · 2014K031069 · Surgisis Nerve Cuff · Cook Biotech, Inc. · 2003K980431 · Surgisis · Cook Biotech, Inc. · 1998K961810 · Supple Peri-Guard Pericardium · Bio-Vascular, Inc. · 1996K921895 · Tissue Patch, Tissue Graft · Bio-Vascular, Inc. · 1992−50
  1. Root · 5 generations backK921895 Tissue Patch, Tissue GraftBio-Vascular, Inc. · 1992
  2. 4 generations backK961810 Supple Peri-Guard PericardiumBio-Vascular, Inc. · 1996
  3. 3 generations backK980431 SurgisisCook Biotech, Inc. · 1998
  4. 2 generations backK031069 Surgisis Nerve CuffCook Biotech, Inc. · 2003
  5. 1 generation backK132660 Nerve CuffCook Biotech Incorporated · 2014
  6. This deviceK223640 Axoguard HA+ Nerve Protector (AGHA12); Axoguard HA+ Nerve Protector…Axogen Corporation · 2023
  7. Descendant · cites it directly · 0 of its ownK242113 Nerve Wrap (07-DW-001-TAB)Biocircuit Technologies, Inc. · 2025
  8. Descendant · cites it directly · 0 of its ownK231708 Axoguard HA+ Nerve Protector (AGHA12); Axoguard HA+ Nerve Protector…Axogen Corporation · 2023

Most influential descendants

Showing 2 of 2 · See all
  • K242113Nerve Wrap (07-DW-001-TAB)Biocircuit Technologies, Inc. · 2025 · cites it directly0descendants
  • K231708Axoguard HA+ Nerve Protector (AGHA12); Axoguard HA+ Nerve Protector (AGHA22); Axoguard…Axogen Corporation · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K921895Tissue Patch, Tissue GraftBio-Vascular, Inc.1992—
−4K961810Supple Peri-Guard PericardiumBio-Vascular, Inc.1996—
−3K980431SurgisisCook Biotech, Inc.1998—
−2K031069Surgisis Nerve CuffCook Biotech, Inc.2003—
−1K132660Nerve CuffCook Biotech Incorporated2014—
0 (this device)K223640Axoguard HA+ Nerve Protector (AGHA12); Axoguard HA+ Nerve Protector (AGHA22)…Axogen Corporation2023—
+1K242113Nerve Wrap (07-DW-001-TAB)Biocircuit Technologies, Inc.2025—
+1K231708Axoguard HA+ Nerve Protector (AGHA12); Axoguard HA+ Nerve Protector (AGHA22)…Axogen Corporation2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198310
198510
199210
199710
200010
200120

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202510
FIG. 1 — Lineage of K223640, 1992–2025Source: 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 JXI? 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 JXI device

  1. #1 K232029 VersaWrap Nerve Protectorscore 12.6 · 2 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
*K132660Nerve Cuff
Summary page 4
…21 CFR 882.5275 3. Predicate Device Axoguard HA+ Nerve Protector is substantially equivalent to the following device: • Axoguard Nerve Protector K132660 4. Device Description The Axoguard HA+ Nerve Protector is a surgical implant that provides non-constricting protection for perip…
Cook Biotech Incorporated2014—

Also cleared against K132660: 2 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
K242113Nerve Wrap (07-DW-001-TAB)Biocircuit Technologies, Inc.20250
K231708Axoguard HA+ Nerve Protector (AGHA12); Axoguard HA+ Nerve Protector (AGHA22); Axoguard…Axogen Corporation20230

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 31 years and passes through 4 companies; a new generation was cleared every 5.0 years on median.
  • 1 of the 12 ancestors has a recall of any class.
  • Of its descendants, K242113 (Biocircuit Technologies, Inc., 2025) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K132660.

How does its category compare?

All JXI devices

JXI Cuff, Nerve: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · JXI

4in 2025

2010: 12011: 12012: 12014: 32015: 12016: 32017: 32018: 12019: 12020: 12022: 22023: 32024: 32025: 42026 (partial year): 2
2007high 4 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JXI

99in 2025

2014: 309 days median2016: 117 days median2017: 90 days median2023: 122 days median2024: 266 days median2025: 99 days median
2007high 309 (2014) · low 90 (2017)2026

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

Recalls per year · JXI

No recall names JXI since 2007.

Adverse event reports per year · JXI

18in 2025

2008: 72009: 72010: 82011: 112013: 72014: 72015: 52016: 82017: 92018: 62019: 102020: 52021: 32022: 82023: 152024: 182025: 18
2007high 18 (2024) · low 0 (2007)2025

MAUDE reports naming product code JXI, 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—00
20080—07
20090—07
20101—08
20111—011
20121—00
20130—07
2014330907
20151—05
2016311708
201739009
20181—06
20191—010
20201—05
20210—03
20222—08
20233122015
20243266018
2025499018
20262—0—

What is it indicated for?

Axoguard HA+ Nerve Protector is indicated for the management of peripheral nerve injuries where there is no gap.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K223640: Axoguard HA+ Nerve Protector (AGHA12); Axoguard HA+ Nerve Protector (AGHA22); Axoguard HA+ Nerve Protector (AGHA24); Axoguard HA+ Nerve Protector (AGHA36); Axoguard HA+ Nerve Protector (AGHA48).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K223640

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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