510(k) Report

510(k) · Cleared

Cleared

Freedom DS™ Decompression System

K253523510(k) TraditionalCleared Apr 16, 2026154-day reviewClass II21 CFR 888.1100

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

Spinal Simplicity · HRX Arthroscope

Cleared on Apr 16, 2026 as substantially equivalent to K233800 (Vertos Medical, Inc., 2024) after a 154-day review. Its family tree reaches back 7 generations to 1992.

Decided
Apr 16, 2026
Review
154 days
Class
Class II
Product code
HRX
Recalls
None
Predicates
1

Its longest line of descent runs back 7 generations to K922881 (1992). 41 ancestors in all, the oldest K844131 (1984). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2007: 1 other ancestor2006: 2 other ancestors2005: 1 other ancestor2003: 1 other ancestor2002: 4 other ancestors2000: 4 other ancestors1999: 4 other ancestors2004: 1 other ancestor2001: 3 other ancestors1995: 5 other ancestors1994: 1 other ancestor1993: 1 other ancestor1991: 2 other ancestors1990: 1 other ancestor1984: 1 other ancestor1998: 1 other ancestor1997: 1 other ancestorK922881 · Clarus Models 1100, 1101, 1102, 1103 Laser Disc · Clarus Medical Systems, Inc. · 1992 · recalledK022610 · Clarus Straight Firing Laser Fiber, Model 1150, Clarus Side Firing Laser Fiber, Model 1160 · Clarus Medical, LLC · 2002×2: 2 generations cleared close together, K040424 (2004), K040919 (2004) K062038 · X-Sten Mild Tool Kit, Model MTK-0001 · X-Sten Corp. · 2006K093062 · Vertos Medical Mild Device Kit · X-Sten Corp. · 2010K233800 · Vertos mild Device Kit (MDK-0002) · Vertos Medical, Inc. · 202419801990200020102020
  1. Root · 7 generations backK922881 Clarus Models 1100, 1101, 1102, 1103 Laser DiscClarus Medical Systems, Inc. · 1992 · Recalled
  2. 6 generations backK022610 Clarus Straight Firing Laser Fiber, Model 1150, Clarus Side Firing…Clarus Medical, LLC · 2002
  3. 5 generations backK040424 Laser Endoscopic Decompression Kit, Model 1100, and Percutaneous…Clarus Medical, LLC · 2004 · Recalled
  4. 4 generations backK040919 Nucleotome Probe Set, Model 21200Clarus Medical, LLC · 2004 · Recalled
  5. 3 generations backK062038 X-Sten Mild Tool Kit, Model MTK-0001X-Sten Corp. · 2006
  6. 2 generations backK093062 Vertos Medical Mild Device KitX-Sten Corp. · 2010
  7. 1 generation backK233800 Vertos mild Device Kit (MDK-0002)Vertos Medical, Inc. · 2024
  8. This deviceK253523 Freedom DS™ Decompression SystemSpinal Simplicity · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K922881Clarus Models 1100, 1101, 1102, 1103 Laser DiscClarus Medical Systems, Inc.19921
−6K022610Clarus Straight Firing Laser Fiber, Model 1150, Clarus Side Firing Laser…Clarus Medical, LLC2002—
−5K040424Laser Endoscopic Decompression Kit, Model 1100, and Percutaneous Discectomy…Clarus Medical, LLC20041
−4K040919Nucleotome Probe Set, Model 21200Clarus Medical, LLC20041
−3K062038X-Sten Mild Tool Kit, Model MTK-0001X-Sten Corp.2006—
−2K093062Vertos Medical Mild Device KitX-Sten Corp.2010—
−1K233800Vertos mild Device Kit (MDK-0002)Vertos Medical, Inc.2024—
0 (this device)K253523Freedom DS™ Decompression SystemSpinal Simplicity2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
199010
199120
199310
199410
199550
199710
199810
199940
200040
200130
200240
200310
200410
200510
200620
200710
FIG. 1 — Lineage of K253523, 1992–2026Source: 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 HRX? 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 HRX device

  1. #1 K260203 Fule Vertebroplasty Balloon Catheterscore 14.9 · 11 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
*K233800Vertos mild Device Kit (MDK-0002)
Summary page 5
…21 CFR 807.92(a)(3) Predicate# Predicate Trade Name (Primary Predicate is listed first) Product Code I K233800 11 Vertos mild Device Kit (MDK-002)…
Vertos Medical, Inc.2024—

Also cleared against K233800: 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 34 years and passes through 5 companies; a new generation was cleared every 2.5 years on median.
  • 5 of the 41 ancestors have a recall of any class.
  • 1 other device also cites its predicate K233800.

How does its category compare?

All HRX devices

HRX Arthroscope: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, this device’s year, is highlighted.

FDA decisions per year · HRX

9in 2025

2007: 72008: 92009: 112010: 92011: 32012: 112013: 122014: 92015: 42016: 82017: 42018: 122019: 122020: 72021: 72022: 32023: 42024: 62025: 92026 (partial year): 7
2007high 12 (2013) · low 3 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HRX

107in 2025

2007: 89 days median2008: 115 days median2009: 139 days median2010: 114 days median2011: 84 days median2012: 102 days median2013: 90 days median2014: 140 days median2015: 132 days median2016: 89 days median2017: 97 days median2018: 101 days median2019: 45 days median2020: 141 days median2021: 57 days median2022: 89 days median2023: 249 days median2024: 110 days median2025: 107 days median2026 (partial year): 217 days median
2007high 249 (2023) · low 45 (2019)2026

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

Recalls per year · HRX

1in 2024

2007: 32008: 132009: 232010: 122011: 62013: 42015: 72018: 12021: 32024: 1
2007high 23 (2009) · low 0 (2012)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · HRX

2,076in 2025

2007: 4212008: 4412009: 5582010: 6122011: 6312012: 7782013: 6782014: 8022015: 7632016: 4692017: 9342018: 1,5812019: 1,6762020: 1,7062021: 1,9082022: 1,4062023: 1,8522024: 2,4272025: 2,076
2007high 2,427 (2024) · low 421 (2007)2025

MAUDE reports naming product code HRX, 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
20077893421
2008911513441
20091113923558
2010911412612
20113846631
2012111020778
201312904678
201491400802
201541327763
20168890469
20174970934
20181210111,581
2019124501,676
2020714101,706
202175731,908
202238901,406
2023424901,852
2024611012,427
2025910702,076
202672170—

What is it indicated for?

The Freedom DS™ Decompression System is used to perform decompressive procedures for the treatment of various lumbar spinal conditions.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K253523: Freedom DS™ Decompression System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K253523

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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