510(k) Report

510(k) · Cleared

Recalled · Class II · 2014

Cusa Excel Ultrasonic Surgical Aspirator System

K981262510(k) TraditionalCleared Jul 6, 199890-day reviewClass URecalls 3

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

Valleylab, Inc. · LFL Instrument, Ultrasonic Surgical

Cleared on Jul 6, 1998 as substantially equivalent to K921251 (Valleylab, Inc., 1992) and 3 other predicates after a 90-day review. Its family tree reaches back 1 generation to 1988. 89 later devices descend from it. It has been recalled 3 times.

Decided
Jul 6, 1998
Review
90 days
Class
Class U
Product code
LFL
Recalls
3
Predicates
4

Its longest line of descent runs back 1 generation to K884413 (1988). 4 ancestors in all. 89 later devices descend from it, 11 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1995: 1 other ancestor1994: 1 other ancestor1992: 1 other ancestor1999: 2 descendants cleared2005: 2 descendants cleared2011: 3 descendants cleared2002: 2 descendants cleared2009: 3 descendants cleared2003: 1 descendant cleared2014: 6 descendants cleared2004: 4 descendants cleared2008: 2 descendants cleared2007: 3 descendants cleared2010: 6 descendants cleared2006: 1 descendant cleared2019: 6 descendants cleared2016: 3 descendants cleared2018: 3 descendants cleared2015: 3 descendants cleared2022: 5 descendants cleared2012: 8 descendants cleared2021: 5 descendants cleared2013: 2 descendants cleared2017: 6 descendants cleared2020: 3 descendants cleared2024: 3 descendants cleared2025: 2 descendants cleared2023: 2 descendants cleared2026: 3 descendants clearedK884413 · Cusa System 200H Ultrasonic Surgical Aspirator · Valleylab, Inc. · 19881990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors 1 generation forward: 11 descendants2 generations forward: 11 descendants3 generations forward: 14 descendants4 generations forward: 14 descendants5 generations forward: 11 descendants6 generations forward: 13 descendants7 generations forward: 9 descendants8 generations forward: 1 descendant9 generations forward: 3 descendants10 generations forward: 1 descendant11 generations forward: 1 descendant K884413 · Cusa System 200H Ultrasonic Surgical Aspirator · Valleylab, Inc. · 19880+5+10
  1. Root · 1 generation backK884413 Cusa System 200H Ultrasonic Surgical AspiratorValleylab, Inc. · 1988
  2. This deviceK981262 Cusa Excel Ultrasonic Surgical Aspirator SystemValleylab, Inc. · 1998
  3. Descendant · cites it directly · 49 of its ownK991791 Sound Vaser SystemSound Surgical Technologies, LLC · 1999 · Recalled
  4. Descendant · 2 generations on · 48 of its ownK022051 Soundvaser SystemSound Surgical Technologies, LLC · 2002 · Recalled
  5. Descendant · 3 generations on · 36 of its ownK042261 Macropore Puricel Lipoplasty SystemMacropore Biosurgery, Inc. · 2004
  6. Descendant · 4 generations on · 34 of its ownK072587 Cytori Aft SystemCytori Therapeutics, Inc. · 2007
  7. Descendant · cites it directly · 29 of its ownK051947 Radionics Cusa Excel Ultrasonic Surgical Aspirator System with BoneRadionics, A Division of Tyco Healthcare Group LP · 2005

Showing 5 of 89 descendants. See all descendants

Descendants cleared per year

1999: 22002: 22003: 12004: 42005: 22006: 12007: 32008: 22009: 32010: 62011: 32012: 82013: 22014: 62015: 32016: 32017: 62018: 32019: 62020: 32021: 52022: 52023: 22024: 32025: 22026: 3
1999high 8 (2012) · low 0 (2000)2026

Most influential descendants

Showing 5 of 89 · See all
  • K991791Sound Vaser SystemSound Surgical Technologies, LLC · 1999 · cites it directly49descendants
  • K022051Soundvaser SystemSound Surgical Technologies, LLC · 2002 · 2 generations on48descendants
  • K042261Macropore Puricel Lipoplasty SystemMacropore Biosurgery, Inc. · 2004 · 3 generations on36descendants
  • K072587Cytori Aft SystemCytori Therapeutics, Inc. · 2007 · 4 generations on34descendants
  • K051947Radionics Cusa Excel Ultrasonic Surgical Aspirator System with BoneRadionics, A Division of Tyco Healthcare Group LP · 2005 · cites it directly29descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K884413Cusa System 200H Ultrasonic Surgical AspiratorValleylab, Inc.1988—
0 (this device)K981262Cusa Excel Ultrasonic Surgical Aspirator SystemValleylab, Inc.1998—
+1K991791Sound Vaser SystemSound Surgical Technologies, LLC19992
+2K022051Soundvaser SystemSound Surgical Technologies, LLC20022
+3K042261Macropore Puricel Lipoplasty SystemMacropore Biosurgery, Inc.2004—
+4K072587Cytori Aft SystemCytori Therapeutics, Inc.2007—
+1K051947Radionics Cusa Excel Ultrasonic Surgical Aspirator System with BoneRadionics, A Division of Tyco Healthcare Group LP2005—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199210
199410
199510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
199920
200220
200310
200440
200520
200610
200730
200820
200930
201060
201130
201280
201320
201460
201530
201630
201760
201830
201960
202030
202150
202250
202320
202430
202520
202630
FIG. 1 — Lineage of K981262, 1988–2026Source: 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 LFL? 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 LFL device

  1. #1 K261448 neXus Ultrasonic Surgical Aspirator Systemscore 14.5 · 10 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? (4)

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
*K921251Cusa System 200C and 200T Ultrasonic Aspirator
Summary page 3
…Handpiece, and Accessories) is substantially equivalent in function and intended use to the following legally marketed devices: . Valleylab CUSA System 200 (510(k)'s K#921251, K#931902, K#934628) This console system operates at a frequency of 23kHz. The above submissions included 23kHz handpieces (CUSA…
Valleylab, Inc.1992—
*K931902Cusa System 200C/T Ultrasonic Aspirator & Access.
Summary page 3
…, and Accessories) is substantially equivalent in function and intended use to the following legally marketed devices: . Valleylab CUSA System 200 (510(k)'s K#921251, K#931902, K#934628) This console system operates at a frequency of 23kHz. The above submissions included 23kHz handpieces (CUSA PFT Ultras…
Valleylab, Inc.1994—
*K934628Cusa (R) Syst 200CT/200T Ultra Aspir Lap/Cem Access
Summary page 3
…ssories) is substantially equivalent in function and intended use to the following legally marketed devices: . Valleylab CUSA System 200 (510(k)'s K#921251, K#931902, K#934628) This console system operates at a frequency of 23kHz. The above submissions included 23kHz handpieces (CUSA PFT Ultrasonic Handp…
Valleylab, Inc.1995—
*K884413Cusa System 200H Ultrasonic Surgical Aspirator
Summary page 3
…kHz. The above submissions included 23kHz handpieces (CUSA PFT Ultrasonic Handpiece) and system accessories. . Valleylab CUSA System 200H with 37kHz Handpiece (510(k) K#884413). This smaller handpiece operates at a higher frequency (37kHz) for applications which demand greater precision and user visibili…
Valleylab, Inc.1988—

Also cleared against K921251: 3 other devices →

What descends from it? (89)

See all 89

11 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K991791Sound Vaser SystemSound Surgical Technologies, LLC199949
K051947Radionics Cusa Excel Ultrasonic Surgical Aspirator System with BoneRadionics, A Division of Tyco Healthcare Group LP200529
K021989Selector Integra Ultrasonic Surgical Aspirator, Model OM 1530000M3Integra Neurosciences200223
K042277Selector Quantum Ultrasonic Aspirator SystemIntegra Neurosciences, Ltd.200417
K141668Cusa Excel+ Ultrasonic Surgical Aspirator SystemIntegra LifeSciences Corporation201414
K102258Cusa NXT Extended Length TipIntegra Radionics, Inc.20112
K032066Sonosurg SystemThe Olympus Optical Co.20031
K141674Cusa Excel+ Ultrasonic Surgical Aspirator SystemIntegra LifeSciences Corporation20140
K090864Cusa Shear Tip, an Accessory of the Cusa Excel Ultrasonic Surgical Aspirator SystemIntegra Radionics, Inc.20090
K041566Sonosurg Ultrasonic Surgical SystemAomori Olympus Co., Ltd.20040

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Mar 10, 2014Class IIZ-1522-2014Under Investigation by firmSome 23 kHz Torque Wrenches were incorrectly assembled and contained a 36 kHz Hex Wrench Insert instead of the 23 kHz Hex Wrench Insert.
Jan 7, 2013Class IIZ-0920-2013Nonconforming Material/ComponentThere is a potential for erosion of the CUSA EXcel tip used with the Nosecone. Specifically, the potential for tip erosion occurs when using a CUSA CEM Nosecone if the side of the tip, rather than the annulus of the tip, is in contact…
Oct 14, 2011Not classifiedZ-1215-2012Release of Material/Component prior to receiving test resultsA small number of non-conforming CUSA Excel 23 KHz Standard Tip and flue (item Number C4601S) were released for distribution that did not meet Integra's in-process requirements for release. It was discovered during in-process inspection…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • None of the 4 ancestors has a recall.
  • Of its descendants, K991791 (Sound Surgical Technologies, LLC, 1999) has gone furthest, with 49 descendants of its own.
  • 3 other devices also cite its predicate K921251.

How does its category compare?

All LFL devices

LFL Instrument, Ultrasonic Surgical: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · LFL

3in 2025

2007: 72008: 22009: 12010: 22011: 32012: 32013: 52014: 32015: 42016: 52017: 22018: 32019: 42020: 42021: 62022: 82023: 42024: 32025: 32026 (partial year): 3
2007high 8 (2022) · low 1 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LFL

176in 2025

2007: 99 days median2011: 241 days median2012: 82 days median2013: 73 days median2014: 136 days median2015: 99 days median2016: 111 days median2018: 66 days median2019: 103 days median2020: 190 days median2021: 83 days median2022: 168 days median2023: 104 days median2024: 158 days median2025: 176 days median2026 (partial year): 99 days median
2007high 241 (2011) · low 66 (2018)2026

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

Recalls per year · LFL

11in 2024

2010: 32011: 22012: 52014: 12015: 12017: 12019: 422021: 12023: 22024: 112026 (partial year): 1
2007high 42 (2019) · low 0 (2007)2026

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

Adverse event reports per year · LFL

3,857in 2025

2007: 2,2362008: 1,6782009: 3,3242010: 1,2392011: 1,0532012: 1,4912013: 2,4302014: 4,2602015: 2,7772016: 2,6912017: 3,2672018: 3,4612019: 3,1532020: 2,9342021: 3,2892022: 3,4222023: 4,2152024: 4,0172025: 3,857
2007high 4,260 (2014) · low 1,053 (2011)2025

MAUDE reports naming product code LFL, 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
200779902,236
20082—01,678
20091—03,324
20102—31,239
2011324121,053
201238251,491
201357302,430
2014313614,260
201549912,777
2016511102,691
20172—13,267
201836603,461
20194103423,153
2020419002,934
202168313,289
2022816803,422
2023410424,215
20243158114,017
2025317603,857
20263991—

What is it indicated for?

The CUSA EXcel Ultrasonic Surgical Aspirator System is indicated for use in surgical procedures where fragmentation, emulsification and aspiration of soft tissue is desirable, including Neurosurgery, Gastrointestinal and Affiliated Organ Surgery, Urological Surgery, Plastic and Reconstructive Surgery, General Surgery, Orthopedic Surgery, Gynecological Surgery, Thoracic Surgery, Laparoscopic Surgery, and Thoracoscopic Surgery.

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. “K981262: Cusa Excel Ultrasonic Surgical Aspirator System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K981262

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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