510(k) Report

510(k) · Cleared

Cleared

Acclarent AERA Eustachian Tube Balloon Dilation System

K253612510(k) TraditionalCleared Feb 19, 202693-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

Acclarent, Inc. · PNZ Eustachian Tube Balloon Dilation Device

Cleared on Feb 19, 2026 as substantially equivalent to K230742 (Acclarent, Inc., 2023) after a 93-day review. Its family tree reaches back 23 generations to 1994.

Decided
Feb 19, 2026
Review
93 days
Class
Class II
Product code
PNZ
Recalls
None
Predicates
1

Its longest line of descent runs back 23 generations to K936109 (1994). 89 ancestors in all, the oldest K800617 (1980). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2016: 1 other ancestor2006: 1 other ancestor2005: 1 other ancestor1998: 7 other ancestors2003: 1 other ancestor2002: 5 other ancestors2000: 12 other ancestors2001: 3 other ancestors1997: 4 other ancestors1996: 8 other ancestors1995: 7 other ancestors1994: 4 other ancestors1992: 3 other ancestors1999: 1 other ancestor1980: 1 other ancestor1993: 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. · 2017K171761 · ACCLARENT AERA Eustachian Tube Balloon Dilation System · Acclarent, Inc. · 2018K230742 · ACCLARENT AERA Eustachian Tube Dilation System · Acclarent, Inc. · 202319801990200020102020
Other ancestors, by generation 3 generations back: 1 other ancestor12 generations back: 1 other ancestor13 generations back: 2 other ancestors14 generations back: 6 other ancestors15 generations back: 11 other ancestors16 generations back: 16 other ancestors17 generations back: 9 other ancestors18 generations back: 11 other ancestors19 generations back: 5 other ancestors20 generations back: 3 other ancestors21 generations back: 1 other ancestor K230742 · ACCLARENT AERA Eustachian Tube Dilation System · Acclarent, Inc. · 2023K171761 · ACCLARENT AERA Eustachian Tube Balloon Dilation System · Acclarent, Inc. · 2018K163509 · 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 · 23 generations backK936109 Sharplan Model 1120 CO2 Surgical LaserSharplan Lasers, Inc. · 1994
  2. 19 generations between
  3. 3 generations backK163509 XprESS ENT Dilation SystemEntellus Medical, Inc. · 2017
  4. 2 generations backK171761 ACCLARENT AERA Eustachian Tube Balloon Dilation SystemAcclarent, Inc. · 2018
  5. 1 generation backK230742 ACCLARENT AERA Eustachian Tube Dilation SystemAcclarent, Inc. · 2023
  6. This deviceK253612 Acclarent AERA Eustachian Tube Balloon Dilation SystemAcclarent, Inc. · 2026
Show all 23 generations
  1. Root · 23 generations backK936109 Sharplan Model 1120 CO2 Surgical LaserSharplan Lasers, Inc. · 1994
  2. 22 generations backK960521 Sharplan Lasers, Inc. Silktouch Flash ScannerSharplan Lasers, Inc. · 1996
  3. 21 generations backK963339 Coherent Ultrapulse CO2 Surgical LasersCoherent Medical Group · 1997
  4. 20 generations backK974789 Coherent Ultrapulse S Series CO2 Surgical Lasers Model C and LLumenis, Inc. · 1998
  5. 19 generations backK990947 Modified Versapulse Select Single Wavelength, HO: Yag and Dual…Lumenis, Inc. · 1999
  6. 18 generations backK011703 Lumenis Versapulse Powersuite Holmium (HO:Yag) and Dual Wavelength…Lumenis · 2001 · Recalled
  7. 17 generations backK014290 Entec Plasma WandsArthrocare Corp. · 2002
  8. 16 generations backK021364 Modification to Entec Plasma WandsArthrocare Corp. · 2002
  9. 15 generations backK030108 Arthrocare Ent Coblator Surgery SystemArthrocare Corp. · 2003 · Recalled
  10. 14 generations backK034004 Diego RF Powered Dissector and Drill System ConsoleGyrus Ent LLC · 2004
  11. 13 generations backK072302 Entellus Medical RS-Series SystemEntellus Medical, Inc. · 2008
  12. 12 generations backK081542 Modification to Entellus Medical RS-Series SystemEntellus Medical, Inc. · 2008
  13. 11 generations backK093007 Entellus Medical Balloon DeviceEntellus Medical, Inc. · 2010
  14. 10 generations backK102003 Xpress Balloon DeviceEntellus Medical, Inc. · 2010
  15. 9 generations backK112506 Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc. · 2011
  16. 8 generations backK121174 Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc. · 2012
  17. 7 generations backK121943 Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc. · 2012
  18. 6 generations backK132440 Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc. · 2013
  19. 5 generations backK142252 XprESS Multi-Sinus Dilation ToolEntellus Medical, Inc. · 2014
  20. 4 generations backK152434 XprESS Multi-Sinus Dilation SystemEntellus Medical, Inc. · 2015
  21. 3 generations backK163509 XprESS ENT Dilation SystemEntellus Medical, Inc. · 2017
  22. 2 generations backK171761 ACCLARENT AERA Eustachian Tube Balloon Dilation SystemAcclarent, Inc. · 2018
  23. 1 generation backK230742 ACCLARENT AERA Eustachian Tube Dilation SystemAcclarent, Inc. · 2023
  24. This deviceK253612 Acclarent AERA Eustachian Tube Balloon Dilation SystemAcclarent, Inc. · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−23K936109Sharplan Model 1120 CO2 Surgical LaserSharplan Lasers, Inc.1994—
−22K960521Sharplan Lasers, Inc. Silktouch Flash ScannerSharplan Lasers, Inc.1996—
−21K963339Coherent Ultrapulse CO2 Surgical LasersCoherent Medical Group1997—
−20K974789Coherent Ultrapulse S Series CO2 Surgical Lasers Model C and LLumenis, Inc.1998—
−19K990947Modified Versapulse Select Single Wavelength, HO: Yag and Dual Wavelength, HO…Lumenis, Inc.1999—
−18K011703Lumenis Versapulse Powersuite Holmium (HO:Yag) and Dual Wavelength…Lumenis20012
−17K014290Entec Plasma WandsArthrocare Corp.2002—
−16K021364Modification to Entec Plasma WandsArthrocare Corp.2002—
−15K030108Arthrocare Ent Coblator Surgery SystemArthrocare Corp.20031
−14K034004Diego RF Powered Dissector and Drill System ConsoleGyrus Ent LLC2004—
−13K072302Entellus Medical RS-Series SystemEntellus Medical, Inc.2008—
−12K081542Modification to Entellus Medical RS-Series SystemEntellus Medical, Inc.2008—
−11K093007Entellus Medical Balloon DeviceEntellus Medical, Inc.2010—
−10K102003Xpress Balloon DeviceEntellus Medical, Inc.2010—
−9K112506Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc.2011—
−8K121174Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc.2012—
−7K121943Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc.2012—
−6K132440Xpress Multi-Sinus Dilation ToolEntellus Medical, Inc.2013—
−5K142252XprESS Multi-Sinus Dilation ToolEntellus Medical, Inc.2014—
−4K152434XprESS Multi-Sinus Dilation SystemEntellus Medical, Inc.2015—
−3K163509XprESS ENT Dilation SystemEntellus Medical, Inc.2017—
−2K171761ACCLARENT AERA Eustachian Tube Balloon Dilation SystemAcclarent, Inc.2018—
−1K230742ACCLARENT AERA Eustachian Tube Dilation SystemAcclarent, Inc.2023—
0 (this device)K253612Acclarent AERA Eustachian Tube Balloon Dilation SystemAcclarent, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
198610
198910
199010
199130
199230
199310
199440
199570
199680
199740
199870
199910
2000120
200130
200250
200310
200510
200610
201610
FIG. 1 — Lineage of K253612, 1994–2026Source: 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 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 K230742 ACCLARENT AERA Eustachian Tube Dilation Systemscore 15.8 · 22 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
*K230742ACCLARENT AERA Eustachian Tube Dilation System
Summary page 5
…tion Name: Eustachian Tube Balloon Dilation System Product Code: PNZ Predicate Devices: ACCLARENT AERA® Eustachian Tube Balloon Dilation System (K230742) Device Description: The ACCLARENT AERA® Eustachian Tube Balloon Dilation System includ…
Acclarent, Inc.2023—

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 32 years and passes through 8 companies; a new generation was cleared every 1.1 years on median.
  • 6 of the 89 ancestors have a recall of any class.

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. 2026, 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 ACCLARENT AERA® Eustachian Tube Balloon Dilation System is intended to dilate the Eustachian tube for treatment of persistent Eustachian tube dysfunction in patients ages 18 and older.

For patients ages 8-17 years, the ACCLARENT AERA® Eustachian Tube Balloon Dilation System, alone or in combination with adjunctive procedures, is intended to treat patients with objective signs of persistent obstructive Eustachian tube dysfunction from inflammatory pathology, resulting in chronic otitis media with effusion and are refractory to at least one surgical intervention for persistent obstructive Eustachian tube dysfunction.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K253612: Acclarent AERA Eustachian Tube 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/K253612

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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