510(k) Report

510(k) · Cleared

Cleared

X-Smart Pro; X-Smart Pro+

K233865510(k) TraditionalCleared Jul 24, 2024231-day reviewClass I21 CFR 872.4200

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

Dentsply Sirona, Inc. · EKX Handpiece, Direct Drive, Ac-Powered

Cleared on Jul 24, 2024 as substantially equivalent to K202906 (Schlumbohm GmbH & Co. KG, 2021) and 1 other predicate after a 231-day review. Its family tree reaches back 7 generations to 1997. 1 later device descends from it.

Decided
Jul 24, 2024
Review
231 days
Class
Class I
Product code
EKX
Recalls
None
Predicates
2

Its longest line of descent runs back 7 generations to K971350 (1997). 20 ancestors in all, the oldest K942139 (1995). 1 later device descends from it, 1 citing it directly.

Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 3 other ancestors3 generations back: 4 other ancestors4 generations back: 3 other ancestors5 generations back: 1 other ancestor7 generations back: 1 other ancestor 1 generation forward: 1 descendant K202906 · EndoPilot2 · Schlumbohm GmbH & Co. KG · 2021K153285 · EMS-200 · Meta Systems Co., Ltd. · 2016K133298 · Endo Smart · Meta Biomed, Inc. · 2014K111616 · E-CUBE · Saeshin Precision Co., Ltd. · 2011K092412 · Strong Implant Handpieces · Saeshin Precision Co., Ltd. · 2009K040674 · Implantology Contra Angles, Endodontic Contra Angles, General Dentistry Contra Angles · Anthogyr · 2004K971350 · Series XE, Series SE, Series TE · Micro-Mega Societe Anonyme · 1997−50
  1. Root · 7 generations backK971350 Series XE, Series SE, Series TEMicro-Mega Societe Anonyme · 1997
  2. 6 generations backK040674 Implantology Contra Angles, Endodontic Contra Angles, General…Anthogyr · 2004
  3. 5 generations backK092412 Strong Implant HandpiecesSaeshin Precision Co., Ltd. · 2009
  4. 4 generations backK111616 E-CUBESaeshin Precision Co., Ltd. · 2011
  5. 3 generations backK133298 Endo SmartMeta Biomed, Inc. · 2014
  6. 2 generations backK153285 EMS-200Meta Systems Co., Ltd. · 2016
  7. 1 generation backK202906 EndoPilot2Schlumbohm GmbH & Co. KG · 2021
  8. This deviceK233865 X-Smart Pro; X-Smart Pro+Dentsply Sirona, Inc. · 2024
  9. Descendant · cites it directly · 0 of its ownK251811 Motor and Apex Module (MaAM)Dentsply Sirona, Inc. · 2025

Most influential descendants

Showing 1 of 1 · See all
  • K251811Motor and Apex Module (MaAM)Dentsply Sirona, Inc. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K971350Series XE, Series SE, Series TEMicro-Mega Societe Anonyme1997—
−6K040674Implantology Contra Angles, Endodontic Contra Angles, General Dentistry Contra…Anthogyr2004—
−5K092412Strong Implant HandpiecesSaeshin Precision Co., Ltd.2009—
−4K111616E-CUBESaeshin Precision Co., Ltd.2011—
−3K133298Endo SmartMeta Biomed, Inc.2014—
−2K153285EMS-200Meta Systems Co., Ltd.2016—
−1K202906EndoPilot2Schlumbohm GmbH & Co. KG2021—
0 (this device)K233865X-Smart Pro; X-Smart Pro+Dentsply Sirona, Inc.2024—
+1K251811Motor and Apex Module (MaAM)Dentsply Sirona, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
199620
199710
199810
199910
200210
200310
200410
200510
200910
201010
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K233865, 1997–2025Source: 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 EKX? 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 EKX device

  1. #1 K261987 Reusable SmartPegscore 13.2 · 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? (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.

TypeNumberDeviceApplicantDecidedRecalls
*K202906EndoPilot2
Summary page 5
…21 CFR 807.92(a)(3) Predicate # Predicate Trade Name (Primary Predicate is listed first) Product Code IK202906 I EndoPilot2 ELC, EKX, E I K15…
Schlumbohm GmbH & Co. KG2021—
*K151045TENEO Dental Treatment Unit and Accessories
Summary page 5
…Product Code IK202906 I EndoPilot2 ELC, EKX, E I K151045 I Teneo Dental treatment unit and accessories I EIA I K150750…
Sirona Dental Systems GmbH2015—
†K150750Endo 6:1, T1 Line Endo 6 L, SIRONiTi Apex, T1 SpraySirona Dental Systems GmbH2015—
†K111078Aeu-26L Elctronic Endodontic SystemAseptico, Inc.2011—

Also cleared against K202906: 2 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K251811Motor and Apex Module (MaAM)Dentsply Sirona, Inc.20250

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 27 years and passes through 7 companies; a new generation was cleared every 3.3 years on median.
  • None of the 20 ancestors has a recall.
  • Of its descendants, K251811 (Dentsply Sirona, Inc., 2025) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K202906.

How does its category compare?

All EKX devices

EKX Handpiece, Direct Drive, Ac-Powered: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · EKX

5in 2025

2007: 12008: 32009: 42010: 32011: 42012: 22013: 22014: 32015: 32016: 32017: 22018: 32019: 32020: 12021: 52022: 32023: 42024: 42025: 52026 (partial year): 1
2007high 5 (2021) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · EKX

244in 2025

2008: 101 days median2009: 186 days median2010: 114 days median2011: 75 days median2014: 251 days median2015: 178 days median2016: 274 days median2018: 293 days median2019: 349 days median2021: 214 days median2022: 359 days median2023: 152 days median2024: 276 days median2025: 244 days median
2007high 359 (2022) · low 75 (2011)2026

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

Recalls per year · EKX

No recall names EKX since 2007.

Adverse event reports per year · EKX

9in 2025

2007: 92008: 102009: 112010: 202011: 62012: 272013: 452014: 1022015: 682016: 662017: 102018: 492019: 562020: 672021: 792022: 372023: 142024: 192025: 9
2007high 102 (2014) · low 6 (2011)2025

MAUDE reports naming product code EKX, 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—09
20083101010
20094186011
20103114020
201147506
20122—027
20132—045
201432510102
20153178068
20163274066
20172—010
20183293049
20193349056
20201—067
20215214079
20223359037
20234152014
20244276019
2025524409
20261—0—

What is it indicated for?

The Endo Tabletop consists of a motorized endodontic handpiece for root canal cleaning and preparation. In addition, some models may also incorporate an electronic apex locator that assists the operator to locate the file tip in the root canal. The Endo Tabletop is intended solely for use by trained dental professionals on patients that need root canal treatment.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K233865: X-Smart Pro; X-Smart Pro+.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K233865

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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