510(k) Report

510(k) · Cleared

Cleared

Aesculap Axial Clip Applier

K984109510(k) TraditionalCleared Feb 12, 199987-day reviewClass II21 CFR 882.4175

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

Aesculap, Inc. · HCI Applier, Aneurysm Clip

Cleared on Feb 12, 1999 as substantially equivalent to K833651 (Advanced Biosearch Assn., 1983) and 2 other predicates after an 87-day review. Its family tree reaches back 2 generations to 1977. 6 later devices descend from it.

Decided
Feb 12, 1999
Review
87 days
Class
Class II
Product code
HCI
Recalls
None
Predicates
3

Its longest line of descent runs back 2 generations to K772200 (1977). 9 ancestors in all. 6 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1995: 2 other ancestors1983: 1 other ancestor1992: 2 other ancestors1988: 1 other ancestor1979: 1 other ancestor2000: 1 descendant cleared2014: 1 descendant cleared2017: 1 descendant cleared2018: 1 descendant cleared2021: 1 descendant cleared2022: 1 descendant clearedK772200 · Yasargil Aneurysm Clips · Aesculap Instruments Corp. · 1977K955064 · Spetzler TI 100 Aneurysm Clip · Elekta Instruments, Inc. · 199619801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 5 other ancestors 1 generation forward: 3 descendants2 generations forward: 1 descendant3 generations forward: 1 descendant4 generations forward: 1 descendant K955064 · Spetzler TI 100 Aneurysm Clip · Elekta Instruments, Inc. · 1996K772200 · Yasargil Aneurysm Clips · Aesculap Instruments Corp. · 19770
  1. Root · 2 generations backK772200 Yasargil Aneurysm ClipsAesculap Instruments Corp. · 1977
  2. 1 generation backK955064 Spetzler TI 100 Aneurysm ClipElekta Instruments, Inc. · 1996
  3. This deviceK984109 Aesculap Axial Clip ApplierAesculap, Inc. · 1999
  4. Descendant · cites it directly · 4 of its ownK131500 Yasargil Aneurysm Clips and Clip AppliersAesculap, Inc. · 2014
  5. Descendant · cites it directly · 3 of its ownK173271 Aesculap Slim Clip Applier ForcepsAesculap, Inc. · 2017
  6. Descendant · 2 generations on · 2 of its ownK180914 Aesculap Slim Clip ApplierAesculap, Inc. · 2018
  7. Descendant · 3 generations on · 1 of its ownK211572 Aesculap Slim Clip ApplierAesculap, Inc. · 2021
  8. Descendant · 4 generations on · 0 of its ownK221524 Sugita AVM Microclip ApplierMizuho America, Inc. · 2022

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2000: 12014: 12017: 12018: 12021: 12022: 1
2000high 1 (2000) · low 0 (2001)2026

Most influential descendants

Showing 5 of 6 · See all
  • K131500Yasargil Aneurysm Clips and Clip AppliersAesculap, Inc. · 2014 · cites it directly4descendants
  • K173271Aesculap Slim Clip Applier ForcepsAesculap, Inc. · 2017 · cites it directly3descendants
  • K180914Aesculap Slim Clip ApplierAesculap, Inc. · 2018 · 2 generations on2descendants
  • K211572Aesculap Slim Clip ApplierAesculap, Inc. · 2021 · 3 generations on1descendant
  • K221524Sugita AVM Microclip ApplierMizuho America, Inc. · 2022 · 4 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K772200Yasargil Aneurysm ClipsAesculap Instruments Corp.1977—
−1K955064Spetzler TI 100 Aneurysm ClipElekta Instruments, Inc.1996—
0 (this device)K984109Aesculap Axial Clip ApplierAesculap, Inc.1999—
+1K131500Yasargil Aneurysm Clips and Clip AppliersAesculap, Inc.2014—
+1K173271Aesculap Slim Clip Applier ForcepsAesculap, Inc.2017—
+2K180914Aesculap Slim Clip ApplierAesculap, Inc.2018—
+3K211572Aesculap Slim Clip ApplierAesculap, Inc.2021—
+4K221524Sugita AVM Microclip ApplierMizuho America, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198310
198810
199220
199520

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200010
201410
201710
201810
202110
202210
FIG. 1 — Lineage of K984109, 1977–2022Source: 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 HCI? 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 HCI device

  1. #1 K211572 Aesculap Slim Clip Applierscore 7.0 · 6 generations · no Class I recall
  2. #2 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (3)

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
*K833651Clip Applying Forceps
Summary page 2
…unction and intended use as the following clip appliers currently in commercial distribution and cleared by the FDA: « Yasargil Clip Applying Forceps by Aesculap, Inc. (K833651) o Aneurysm Clip Appliers by Aesculap, Inc. (K940970) « Elekta Clip Appliers by Elekta (K955064) 0005 P, & %…
Advanced Biosearch Assn.1983—
*K940970Yasargil, Caspar, Vario Clip Appliers
Summary page 2
…s currently in commercial distribution and cleared by the FDA: « Yasargil Clip Applying Forceps by Aesculap, Inc. (K833651) o Aneurysm Clip Appliers by Aesculap, Inc. (K940970) « Elekta Clip Appliers by Elekta (K955064) 0005 P, & % ii ‘-/C DEPARTMENT OF HEALTH & HUMAN SERVICES Public H…
Aesculap, Inc.19952
*K955064Spetzler TI 100 Aneurysm Clip
Summary page 2
…leared by the FDA: « Yasargil Clip Applying Forceps by Aesculap, Inc. (K833651) o Aneurysm Clip Appliers by Aesculap, Inc. (K940970) « Elekta Clip Appliers by Elekta (K955064) 0005 P, & % ii ‘-/C DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service ‘% ol Food and Drug Administ…
Elekta Instruments, Inc.1996—

Also cleared against K833651: 2 other devices →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K131500Yasargil Aneurysm Clips and Clip AppliersAesculap, Inc.20144
K173271Aesculap Slim Clip Applier ForcepsAesculap, Inc.20173
K994191Spetzler Round Handle Appliers, Models C-3753, C-3753T, C-3754, C-3754TNmt Medical, Inc.20000

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 22 years and passes through 3 companies; a new generation was cleared every 18.9 years on median.
  • 1 of the 9 ancestors has a recall of any class.
  • Of its descendants, K131500 (Aesculap, Inc., 2014) has gone furthest, with 4 descendants of its own.
  • 2 other devices also cite its predicate K833651.

How does its category compare?

All HCI devices

HCI Applier, Aneurysm Clip: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · HCI

1in 2022

2017: 12018: 12021: 12022: 1
2007high 1 (2017) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HCI

Too few HCI 510(k)s in any year since 2007 to give a median.

Recalls per year · HCI

2in 2007

2007: 2
2007high 2 (2007) · low 0 (2008)2026

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

Adverse event reports per year · HCI

1in 2025

2013: 272014: 12015: 12017: 22019: 62020: 22021: 62022: 12023: 22024: 32025: 1
2007high 27 (2013) · low 0 (2007)2025

MAUDE reports naming product code HCI, 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—20
20080—00
20090—00
20100—00
20110—00
20120—00
20130—027
20140—01
20150—01
20160—00
20171—02
20181—00
20190—06
20200—02
20211—06
20221—01
20230—02
20240—03
20250—01
20260—0—

What is it indicated for?

The Aesculap Axial Clip Appliers are used for holding and applying intracranial aneurysm clips.

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. “K984109: Aesculap Axial Clip Applier.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K984109

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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