510(k) · Cleared
ClearedBlue Sky Plan Software, Blue Sky Bio Aligner Z, and Blue Sky Bio Aligner Z FLX
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Blue Sky Bio, LLC · NXC Aligner, Sequential
Cleared on Apr 3, 2024 as substantially equivalent to K223518 (Shanghai EA Medical Instruments Co., Ltd., 2023) and 1 other predicate after a 216-day review. Its family tree reaches back 7 generations to 1978. 1 later device descends from it.
- Decided
- Apr 3, 2024
- Review
- 216 days
- Class
- Class II
- Product code
- NXC
- Recalls
- None
- Predicates
- 2
Its longest line of descent runs back 7 generations to K780619 (1978). 14 ancestors in all. 1 later device descends from it, 1 citing it directly.
- Root · 7 generations backK780619 Preformed Tooth PositionerTp Laboratories, Inc. · 1978
- 6 generations backK981095 Align SystemAlign Technology · 1998
- 5 generations backK071970 Clear Image AlignerSpecialty Appliance Works, Inc. · 2007
- 4 generations backK082556 ClearcorrectClearcorrect, Inc. · 2009
- 3 generations backK113618 Clearcorrect SystemClearcorrect, Inc. · 2012
- 2 generations backK180241 Orthocaps TwinalignerOrtho Caps GmbH · 2018
- 1 generation backK192596 ULab Systems Dental Aligner KitUlab Systems, Inc. · 2020
- This deviceK232653 Blue Sky Plan Software, Blue Sky Bio Aligner Z, and Blue Sky Bio…Blue Sky Bio, LLC · 2024
- Descendant · cites it directly · 0 of its ownK242892 Cristaline Aligners Z FLXCristaline Aligners GmbH · 2024
Most influential descendants
Showing 1 of 1 · See all- K242892Cristaline Aligners Z FLXCristaline Aligners GmbH · 2024 · cites it directly0descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −7 | K780619 | Preformed Tooth Positioner | Tp Laboratories, Inc. | 1978 | — |
| −6 | K981095 | Align System | Align Technology | 1998 | — |
| −5 | K071970 | Clear Image Aligner | Specialty Appliance Works, Inc. | 2007 | — |
| −4 | K082556 | Clearcorrect | Clearcorrect, Inc. | 2009 | — |
| −3 | K113618 | Clearcorrect System | Clearcorrect, Inc. | 2012 | — |
| −2 | K180241 | Orthocaps Twinaligner | Ortho Caps GmbH | 2018 | — |
| −1 | K192596 | ULab Systems Dental Aligner Kit | Ulab Systems, Inc. | 2020 | — |
| 0 (this device) | K232653 | Blue Sky Plan Software, Blue Sky Bio Aligner Z, and Blue Sky Bio Aligner Z FLX | Blue Sky Bio, LLC | 2024 | — |
| +1 | K242892 | Cristaline Aligners Z FLX | Cristaline Aligners GmbH | 2024 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2004 | 1 | 0 |
| 2008 | 1 | 0 |
| 2009 | 1 | 0 |
| 2010 | 1 | 0 |
| 2016 | 1 | 0 |
| 2018 | 1 | 0 |
| 2023 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2024 | 1 | 0 |
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 K220287 Invisalign Systemscore 20.3 · 5 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (2)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K223518 | iOrthoSummary page 5…ss 2 2 Predicate Device Predicate #1 (Primary): Predicate #2 (Secondary): Information K223518 K192596, 510(k) #, Device iOrtho, uLab Systems Dental Align… | 2023 |
| * | K192596 | ULab Systems Dental Aligner KitSummary page 5…2 Predicate Device Predicate #1 (Primary): Predicate #2 (Secondary): Information K223518 K192596, 510(k) #, Device iOrtho, uLab Systems Dental Aligner Kit; Trade name & Sha… | 2020 |
| † | K180107 | Blue Sky Bio Aligner | 2018 |
| † | K221845 | Blue Sky Bio Aligner G & Blue Sky Plan S/W for Blue Sky Bio Aligner G | 2023 |
What descends from it? (1)
1 later device cites it directly; ranked here by how many devices descend from each in turn.
| Number | Device | Decided | Descendants |
|---|---|---|---|
| K242892 | Cristaline Aligners Z FLX | 2024 | 0 |
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 46 years and passes through 7 companies; a new generation was cleared every 4.1 years on median.
- None of the 14 ancestors has a recall.
- Of its descendants, K242892 (Cristaline Aligners GmbH, 2024) has gone furthest, with 0 descendants of its own.
How does its category compare?
All NXC devicesNXC Aligner, Sequential: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.
FDA decisions per year · NXC
11in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · NXC
61in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · NXC
2in 2024
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · NXC
4,523in 2025
MAUDE reports naming product code NXC, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 1 | — | 0 | 1 |
| 2008 | 2 | — | 0 | 5 |
| 2009 | 2 | — | 0 | 2 |
| 2010 | 1 | — | 0 | 11 |
| 2011 | 0 | — | 0 | 59 |
| 2012 | 2 | — | 0 | 24 |
| 2013 | 4 | 124 | 0 | 28 |
| 2014 | 0 | — | 0 | 27 |
| 2015 | 2 | — | 0 | 43 |
| 2016 | 1 | — | 0 | 41 |
| 2017 | 3 | 85 | 0 | 47 |
| 2018 | 11 | 116 | 0 | 67 |
| 2019 | 16 | 182 | 0 | 127 |
| 2020 | 16 | 230 | 0 | 175 |
| 2021 | 20 | 97 | 0 | 929 |
| 2022 | 19 | 137 | 0 | 605 |
| 2023 | 13 | 152 | 0 | 433 |
| 2024 | 14 | 105 | 2 | 8,991 |
| 2025 | 11 | 61 | 0 | 4,523 |
| 2026 | 5 | 127 | 0 | — |
What is it indicated for?
Blue Sky Plan Software orthodontic module is intended for use as a medical front-end device providing tools for management of orthodontic models, systematic inspection, detailed analysis, treatment simulation and virtual design of a series of dental casts which may be used for sequential aligner trays and aligners, based on 3D models of the patient’s dentition before the start of an orthodontic treatment. It can also be applied during the treatment to…
Read the full statement (187 words)
Blue Sky Plan Software orthodontic module is intended for use as a medical front-end device providing tools for management of orthodontic models, systematic inspection, detailed analysis, treatment simulation and virtual design of a series of dental casts which may be used for sequential aligner trays and aligners, based on 3D models of the patient’s dentition before the start of an orthodontic treatment. It can also be applied during the treatment to inspect and analyze the progress of treatment, and at the end of treatment to evaluate if the outcome is consistent with the planned/desired treatment objectives.
Blue Sky Bio Aligner Z and Blue Sky Bio Aligner Z FLX are series of clear, lightweight, plastic appliances indicated for the treatment of tooth malocclusions in patients with permanent dentition (i.e. all second molars). Utilizing a series of incremental tooth movements, it sequentially positions teeth by way of continuous force.
The use of the Blue Sky Plan Software module requires the user to have the necessary training and domain knowledge in the practice of orthodontics, as well as to have received a dedicated training in the use of the software.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K232653 · printed Nov 6, 2026
Cite this page
510(k) Report. “K232653: Blue Sky Plan Software, Blue Sky Bio Aligner Z, and Blue Sky Bio Aligner Z FLX.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K232653
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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