510(k) Report

510(k) · Cleared

Cleared

Gem Flow Now (GEM2770-FN)

K233394510(k) TraditionalCleared Jan 28, 2024117-day reviewClass II21 CFR 892.1550

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

Synovis Micro Companies Alliance · IYN System, Imaging, Pulsed Doppler, Ultrasonic

Cleared on Jan 28, 2024 as substantially equivalent to K143589 (Synovis Life Technologies, Inc., 2015) after a 117-day review. Its family tree reaches back 4 generations to 2010.

Decided
Jan 28, 2024
Review
117 days
Class
Class II
Product code
IYN
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to K093310 (2010). No later device cites it as a predicate yet.

  1. Root · 4 generations backK093310 Gem Flow Coupler Device and SystemSynovis Micro Companies Alliance, Inc. · 2010
  2. 3 generations backK132727 Gem Flow Coupler Device and SystemSynovis Life Technologies, Inc. · 2013 · Recalled
  3. 2 generations backK142309 GEM Flow COUPLER Device and SystemSynovis Life Technologies, Inc. · 2014
  4. 1 generation backK143589 GEM Flow COUPLER Device and SystemSynovis Life Technologies, Inc. · 2015 · Recalled
  5. This deviceK233394 Gem Flow Now (GEM2770-FN)Synovis Micro Companies Alliance · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K093310Gem Flow Coupler Device and SystemSynovis Micro Companies Alliance, Inc.2010—
−3K132727Gem Flow Coupler Device and SystemSynovis Life Technologies, Inc.20135
−2K142309GEM Flow COUPLER Device and SystemSynovis Life Technologies, Inc.2014—
−1K143589GEM Flow COUPLER Device and SystemSynovis Life Technologies, Inc.20152
0 (this device)K233394Gem Flow Now (GEM2770-FN)Synovis Micro Companies Alliance2024—
FIG. 1 — Lineage of K233394, 2010–2024Source: 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 IYN? 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 IYN device

  1. #1 K240850 EPIQ Series Diagnostic Ultrasound Systems…score 32.1 · 24 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
*K143589GEM Flow COUPLER Device and System
Summary page 4
…ppler, Ultrasonic Regulatory Class: Class 2 Regulation: 892.1550 Product Code: IYN, ITX III. Predicate Device GEM Flow Coupler Device and System K143589 (Reference device: Cook-Swartz Doppler Probe K171272) IV. Device Description The GEM FLOW NOW (FLOW NOW) device is compri…
Synovis Life Technologies, Inc.20152
†K171272Cook-Swartz Doppler Flow ProbeCook Incorporated2018—

Also cleared against K143589: 1 other device →

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 14 years and passes through 3 companies; a new generation was cleared every 3.7 years on median.
  • 2 of the 4 ancestors have a recall of any class.
  • 1 other device also cites its predicate K143589.

How does its category compare?

All IYN devices

IYN System, Imaging, Pulsed Doppler, Ultrasonic: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · IYN

57in 2025

2007: 132008: 252009: 182010: 292011: 392012: 432013: 512014: 562015: 542016: 602017: 642018: 592019: 472020: 572021: 462022: 532023: 442024: 502025: 572026 (partial year): 44
2007high 64 (2017) · low 13 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · IYN

124in 2025

2007: 26 days median2008: 18 days median2009: 29 days median2010: 67 days median2011: 46 days median2012: 37 days median2013: 60 days median2014: 39 days median2015: 55 days median2016: 56 days median2017: 83 days median2018: 85 days median2019: 79 days median2020: 72 days median2021: 105 days median2022: 105 days median2023: 115 days median2024: 119 days median2025: 124 days median2026 (partial year): 107 days median
2007high 124 (2025) · low 18 (2008)2026

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

Recalls per year · IYN

10in 2025

2007: 162008: 122009: 82010: 102011: 82012: 32013: 82014: 22015: 32016: 22018: 72020: 42021: 82022: 102023: 42024: 12025: 102026 (partial year): 2, 1 Class I
2007high 16 (2007) · low 0 (2017)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · IYN

610in 2025

2007: 32008: 22009: 92010: 172011: 182012: 202013: 182014: 482015: 1162016: 1452017: 1462018: 852019: 592020: 672021: 2132022: 1862023: 2292024: 2662025: 610
2007high 610 (2025) · low 2 (2008)2025

MAUDE reports naming product code IYN, 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
20071326163
20082518122
2009182989
201029671017
20113946818
20124337320
20135160818
20145639248
201554553116
201660562145
201764830146
20185985785
20194779059
20205772467
2021461058213
20225310510186
2023441154229
2024501191266
20255712410610
2026441072 (1)—

What is it indicated for?

FLOW NOW is indicated for monitoring blood flow in peripheral vessels during and following reconstructive microvascular procedures, re-implantation, and free flap transfers. Postoperatively, blood flow can be detected on an as needed basis for up to 7 days. The FLOW NOW Doppler probe is not intended to be a permanent implant and should be removed 3 to 14 days postoperatively.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K233394: Gem Flow Now (GEM2770-FN).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K233394

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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