510(k) Report

510(k) · Cleared

Cleared

VenSure™ Balloon Dilation System, VenSure™ Light Balloon Dilation System, VenSure™ Nav Balloon Dilation System, VenSure™ ET Balloon Dilation System

K230065510(k) TraditionalCleared May 26, 2023137-day reviewClass II21 CFR 874.4180

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

Fiagon GmbH · PNZ Eustachian Tube Balloon Dilation Device

Cleared on May 26, 2023 as substantially equivalent to K163509 (Entellus Medical, Inc., 2017) and 2 other predicates after a 137-day review. Its family tree reaches back 21 generations to 1994.

Decided
May 26, 2023
Review
137 days
Class
Class II
Product code
PNZ
Recalls
None
Predicates
3

Its longest line of descent runs back 21 generations to K936109 (1994). 117 ancestors in all, the oldest K800617 (1980). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2022: 1 other ancestor2020: 1 other ancestor2016: 1 other ancestor2014: 1 other ancestor2013: 2 other ancestors2012: 2 other ancestors2009: 1 other ancestor2011: 1 other ancestor2008: 1 other ancestor2007: 3 other ancestors2006: 1 other ancestor2005: 2 other ancestors2002: 8 other ancestors1998: 7 other ancestors1995: 8 other ancestors1987: 1 other ancestor2004: 1 other ancestor2003: 2 other ancestors2000: 12 other ancestors1999: 2 other ancestors2001: 3 other ancestors1997: 4 other ancestors1996: 11 other ancestors1993: 3 other ancestors1992: 5 other ancestors1994: 5 other ancestors1980: 1 other ancestor1991: 3 other ancestors1990: 1 other ancestor1989: 1 other ancestor1986: 1 other ancestorK936109 · Sharplan Model 1120 CO2 Surgical Laser · Sharplan Lasers, Inc. · 1994K960521 · Sharplan Lasers, Inc. Silktouch Flash Scanner · Sharplan Lasers, Inc. · 1996K963339 · Coherent Ultrapulse CO2 Surgical Lasers · Coherent Medical Group · 1997K974789 · Coherent Ultrapulse S Series CO2 Surgical Lasers Model C and L · Lumenis, Inc. · 1998K990947 · Modified Versapulse Select Single Wavelength, HO: Yag and Dual Wavelength, HO: Yag/ND: Yag Surgical Lasers and Delivery · Lumenis, Inc. · 1999K011703 · Lumenis Versapulse Powersuite Holmium (HO:Yag) and Dual Wavelength (HO:Yag/ND:Yag) Surgical Lasers and Delivery Devices · Lumenis · 2001 · recalled×2: 2 generations cleared close together, K014290 (2002), K021364 (2002) K030108 · Arthrocare Ent Coblator Surgery System · Arthrocare Corp. · 2003 · recalledK034004 · Diego RF Powered Dissector and Drill System Console · Gyrus Ent LLC · 2004×2: 2 generations cleared close together, K072302 (2008), K081542 (2008) K093007 · Entellus Medical Balloon Device · Entellus Medical, Inc. · 2010K102003 · Xpress Balloon Device · Entellus Medical, Inc. · 2010×3: 3 generations cleared close together, K112506 (2011), K121174 (2012), K121943 (2012) K132440 · Xpress Multi-Sinus Dilation Tool · Entellus Medical, Inc. · 2013K142252 · XprESS Multi-Sinus Dilation Tool · Entellus Medical, Inc. · 2014K152434 · XprESS Multi-Sinus Dilation System · Entellus Medical, Inc. · 2015K163509 · XprESS ENT Dilation System · Entellus Medical, Inc. · 201719801990200020102020
Other ancestors, by generation 1 generation back: 2 other ancestors2 generations back: 3 other ancestors3 generations back: 2 other ancestors4 generations back: 2 other ancestors5 generations back: 4 other ancestors6 generations back: 8 other ancestors7 generations back: 9 other ancestors8 generations back: 18 other ancestors9 generations back: 17 other ancestors10 generations back: 11 other ancestors11 generations back: 11 other ancestors12 generations back: 5 other ancestors13 generations back: 3 other ancestors14 generations back: 1 other ancestor K163509 · XprESS ENT Dilation System · Entellus Medical, Inc. · 2017K152434 · XprESS Multi-Sinus Dilation System · Entellus Medical, Inc. · 2015K142252 · XprESS Multi-Sinus Dilation Tool · Entellus Medical, Inc. · 2014K132440 · Xpress Multi-Sinus Dilation Tool · Entellus Medical, Inc. · 2013K121943 · Xpress Multi-Sinus Dilation Tool · Entellus Medical, Inc. · 2012K121174 · Xpress Multi-Sinus Dilation Tool · Entellus Medical, Inc. · 2012K112506 · Xpress Multi-Sinus Dilation Tool · Entellus Medical, Inc. · 2011K102003 · Xpress Balloon Device · Entellus Medical, Inc. · 2010K093007 · Entellus Medical Balloon Device · Entellus Medical, Inc. · 2010K081542 · Modification to Entellus Medical RS-Series System · Entellus Medical, Inc. · 2008K072302 · Entellus Medical RS-Series System · Entellus Medical, Inc. · 2008K034004 · Diego RF Powered Dissector and Drill System Console · Gyrus Ent LLC · 2004K030108 · Arthrocare Ent Coblator Surgery System · Arthrocare Corp. · 2003 · recalledK021364 · Modification to Entec Plasma Wands · Arthrocare Corp. · 2002K014290 · Entec Plasma Wands · Arthrocare Corp. · 2002K011703 · Lumenis Versapulse Powersuite Holmium (HO:Yag) and Dual Wavelength (HO:Yag/ND:Yag) Surgical Lasers and Delivery Devices · Lumenis · 2001 · recalledK990947 · Modified Versapulse Select Single Wavelength, HO: Yag and Dual Wavelength, HO: Yag/ND: Yag Surgical Lasers and Delivery · Lumenis, Inc. · 1999K974789 · Coherent Ultrapulse S Series CO2 Surgical Lasers Model C and L · Lumenis, Inc. · 1998K963339 · Coherent Ultrapulse CO2 Surgical Lasers · Coherent Medical Group · 1997K960521 · Sharplan Lasers, Inc. Silktouch Flash Scanner · Sharplan Lasers, Inc. · 1996K936109 · Sharplan Model 1120 CO2 Surgical Laser · Sharplan Lasers, Inc. · 1994−20−15−10−50
  1. Root · 21 generations backK936109 Sharplan Model 1120 CO2 Surgical LaserSharplan Lasers, Inc. · 1994
  2. 17 generations between
  3. 3 generations backK142252 XprESS Multi-Sinus Dilation ToolEntellus Medical, Inc. · 2014
  4. 2 generations backK152434 XprESS Multi-Sinus Dilation SystemEntellus Medical, Inc. · 2015
  5. 1 generation backK163509 XprESS ENT Dilation SystemEntellus Medical, Inc. · 2017
  6. This deviceK230065 VenSure™ Balloon Dilation System, VenSure™ Light Balloon Dilation…Fiagon GmbH · 2023
Show all 21 generations
  1. Root · 21 generations backK936109 Sharplan Model 1120 CO2 Surgical LaserSharplan Lasers, Inc. · 1994
  2. 20 generations backK960521 Sharplan Lasers, Inc. Silktouch Flash ScannerSharplan Lasers, Inc. · 1996
  3. 19 generations backK963339 Coherent Ultrapulse CO2 Surgical LasersCoherent Medical Group · 1997
  4. 18 generations backK974789 Coherent Ultrapulse S Series CO2 Surgical Lasers Model C and LLumenis, Inc. · 1998
  5. 17 generations backK990947 Modified Versapulse Select Single Wavelength, HO: Yag and Dual…Lumenis, Inc. · 1999
  6. 16 generations backK011703 Lumenis Versapulse Powersuite Holmium (HO:Yag) and Dual Wavelength…Lumenis · 2001 · Recalled
  7. 15 generations backK014290 Entec Plasma WandsArthrocare Corp. · 2002
  8. 14 generations backK021364 Modification to Entec Plasma WandsArthrocare Corp. · 2002
  9. 13 generations backK030108 Arthrocare Ent Coblator Surgery SystemArthrocare Corp. · 2003 · Recalled
  10. 12 generations backK034004 Diego RF Powered Dissector and Drill System ConsoleGyrus Ent LLC · 2004
  11. 11 generations backK072302 Entellus Medical RS-Series SystemEntellus Medical, Inc. · 2008
  12. 10 generations backK081542 Modification to Entellus Medical RS-Series SystemEntellus Medical, Inc. · 2008
  13. 9 generations backK093007 Entellus Medical Balloon DeviceEntellus Medical, Inc. · 2010
  14. 8 generations backK102003 Xpress Balloon DeviceEntellus Medical, Inc. · 2010
  15. 7 generations backK112506 Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc. · 2011
  16. 6 generations backK121174 Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc. · 2012
  17. 5 generations backK121943 Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc. · 2012
  18. 4 generations backK132440 Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc. · 2013
  19. 3 generations backK142252 XprESS Multi-Sinus Dilation ToolEntellus Medical, Inc. · 2014
  20. 2 generations backK152434 XprESS Multi-Sinus Dilation SystemEntellus Medical, Inc. · 2015
  21. 1 generation backK163509 XprESS ENT Dilation SystemEntellus Medical, Inc. · 2017
  22. This deviceK230065 VenSure™ Balloon Dilation System, VenSure™ Light Balloon Dilation…Fiagon GmbH · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−21K936109Sharplan Model 1120 CO2 Surgical LaserSharplan Lasers, Inc.1994—
−20K960521Sharplan Lasers, Inc. Silktouch Flash ScannerSharplan Lasers, Inc.1996—
−19K963339Coherent Ultrapulse CO2 Surgical LasersCoherent Medical Group1997—
−18K974789Coherent Ultrapulse S Series CO2 Surgical Lasers Model C and LLumenis, Inc.1998—
−17K990947Modified Versapulse Select Single Wavelength, HO: Yag and Dual Wavelength, HO…Lumenis, Inc.1999—
−16K011703Lumenis Versapulse Powersuite Holmium (HO:Yag) and Dual Wavelength…Lumenis20012
−15K014290Entec Plasma WandsArthrocare Corp.2002—
−14K021364Modification to Entec Plasma WandsArthrocare Corp.2002—
−13K030108Arthrocare Ent Coblator Surgery SystemArthrocare Corp.20031
−12K034004Diego RF Powered Dissector and Drill System ConsoleGyrus Ent LLC2004—
−11K072302Entellus Medical RS-Series SystemEntellus Medical, Inc.2008—
−10K081542Modification to Entellus Medical RS-Series SystemEntellus Medical, Inc.2008—
−9K093007Entellus Medical Balloon DeviceEntellus Medical, Inc.2010—
−8K102003Xpress Balloon DeviceEntellus Medical, Inc.2010—
−7K112506Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc.2011—
−6K121174Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc.2012—
−5K121943Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc.2012—
−4K132440Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc.2013—
−3K142252XprESS Multi-Sinus Dilation ToolEntellus Medical, Inc.2014—
−2K152434XprESS Multi-Sinus Dilation SystemEntellus Medical, Inc.2015—
−1K163509XprESS ENT Dilation SystemEntellus Medical, Inc.2017—
0 (this device)K230065VenSure™ Balloon Dilation System, VenSure™ Light Balloon Dilation System…Fiagon GmbH2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
198610
198710
198910
199010
199130
199250
199330
199450
199580
1996110
199740
199870
199920
2000120
200130
200280
200320
200410
200520
200610
200730
200810
200910
201110
201220
201320
201410
201610
202010
202210
FIG. 1 — Lineage of K230065, 1994–2023Source: 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 PNZ? 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 PNZ device

  1. #1 K253612 Acclarent AERA Eustachian Tube Balloon…score 17.5 · 23 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? (3)

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
*K163509XprESS ENT Dilation System
Summary page 4
…Ear, nose and throat manual surgical instrument Product Code: LRC 3. Predicate Device Information • Primary predicate: XprESS ENT Dilation System (K163509) • Secondary predicate: VenSure and VenSure Nav Balloon Devices (K201472) with VenSure LightGuide (K212774) === Pag…
Entellus Medical, Inc.2017—
*K201472VenSure Balloon Device, VenSure Nav Balloon Device
Summary page 4
…LRC 3. Predicate Device Information • Primary predicate: XprESS ENT Dilation System (K163509) • Secondary predicate: VenSure and VenSure Nav Balloon Devices (K201472) with VenSure LightGuide (K212774) The primary predicate is the predicate device for the added Eust…
Fiagon GmbH2020—
*K212774VenSure LightGuide
Summary page 4
…Primary predicate: XprESS ENT Dilation System (K163509) • Secondary predicate: VenSure and VenSure Nav Balloon Devices (K201472) with VenSure LightGuide (K212774) The primary predicate is the predicate device for the added Eustachian Tube indication with produc…
Intersect Ent.2022—

Also cleared against K163509: 4 other devices →

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 29 years and passes through 8 companies; a new generation was cleared every 1.1 years on median.
  • 7 of the 117 ancestors have a recall of any class.
  • 4 other devices also cite its predicate K163509.

How does its category compare?

All PNZ devices

PNZ Eustachian Tube Balloon Dilation Device: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · PNZ

3in 2023

2016: 12017: 12018: 12021: 12022: 12023: 32026 (partial year): 1
2007high 3 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PNZ

251in 2023

2023: 251 days median
2007high 251 (2023)2026

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

Recalls per year · PNZ

No recall names PNZ since 2007.

Adverse event reports per year · PNZ

3in 2025

2017: 42018: 22019: 12020: 22021: 12022: 32023: 42024: 92025: 3
2007high 9 (2024) · low 0 (2007)2025

MAUDE reports naming product code PNZ, 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—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20161—00
20171—04
20181—02
20190—01
20200—02
20211—01
20221—03
2023325104
20240—09
20250—03
20261—0—

What is it indicated for?

The VenSure™ Balloon Dilation System is used to access and treat the frontal ostia/recesses, sphenoid sinus ostia and maxillary ostia/ethmoid infundibula in adults using a trans-nasal approach. The bony sinus outflow tracts are remodeled by balloon displacement of adjacent bone and paranasal sinus structures. To dilate the cartilaginous portion of the Eustachian tube for treating persistent Eustachian tube dysfunction in adult patients using a transnasal…

Read the full statement (148 words)

The VenSure™ Balloon Dilation System is used to access and treat the frontal ostia/recesses, sphenoid sinus ostia and maxillary ostia/ethmoid infundibula in adults using a trans-nasal approach. The bony sinus outflow tracts are remodeled by balloon displacement of adjacent bone and paranasal sinus structures.

To dilate the cartilaginous portion of the Eustachian tube for treating persistent Eustachian tube dysfunction in adult patients using a transnasal approach.

The VenSure™ Nav Balloon Dilation System is additionally intended for use in conjunction with the Cube Navigation System during ENT procedures when surgical navigation or image-guided surgery may be necessary to locate the Eustachian tube or to locate tissue, bone or cartilaginous tissue surrounding the drainage pathways of frontal, maxillary, and sphenoid sinuses to facilitate dilation of the sinus ostia.

The VenSure™ Light Balloon Dilation System is additionally used to locate, illuminate within, and transilluminate across, nasal and sinus structures in adults.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K230065: VenSure™ Balloon Dilation System, VenSure™ Light Balloon Dilation System, VenSure™ Nav Balloon Dilation System, VenSure™ ET Balloon Dilation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K230065

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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