510(k) Report

510(k) · Cleared

Recalled · 2006

Nihon Kohden Meb-2200A Neuropack Evoked Potential & Emg Measuring System with Accessories

K991899510(k) TraditionalCleared Sep 1, 199989-day reviewClass II21 CFR 882.1870Recalls 1

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

Nihon Kohden America, Inc. · GWF Stimulator, Electrical, Evoked Response

Cleared on Sep 1, 1999 as substantially equivalent to K950208 (Nihon Kohden America, Inc., 1995) after an 89-day review. Its family tree reaches back 1 generation to 1995. 13 later devices descend from it. It has been recalled once.

Decided
Sep 1, 1999
Review
89 days
Class
Class II
Product code
GWF
Recalls
1
Predicates
1

Its longest line of descent runs back 1 generation to K950208 (1995). 13 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2005: 1 descendant cleared2012: 1 descendant cleared2015: 2 descendants cleared2019: 1 descendant cleared2017: 1 descendant cleared2023: 3 descendants cleared2018: 1 descendant cleared2022: 2 descendants cleared2026: 1 descendant clearedK950208 · Nihon Kohden Neuropack Sigma Meb-5500A Evoked Response & Emg Measuring System · Nihon Kohden America, Inc. · 19951995200020052010201520202025
Descendants, by generation 1 generation forward: 2 descendants2 generations forward: 3 descendants3 generations forward: 1 descendant4 generations forward: 4 descendants5 generations forward: 2 descendants6 generations forward: 1 descendant K950208 · Nihon Kohden Neuropack Sigma Meb-5500A Evoked Response & Emg Measuring System · Nihon Kohden America, Inc. · 19950+5
  1. Root · 1 generation backK950208 Nihon Kohden Neuropack Sigma Meb-5500A Evoked Response & Emg…Nihon Kohden America, Inc. · 1995
  2. This deviceK991899 Nihon Kohden Meb-2200A Neuropack Evoked Potential & Emg Measuring…Nihon Kohden America, Inc. · 1999
  3. Descendant · cites it directly · 10 of its ownK051178 Mee-1000A NeuromasterNihon Kohden America, Inc. · 2005 · Recalled
  4. Descendant · 2 generations on · 8 of its ownK142624 Neuromaster G1 MEE200Nihon Kohden Corporation · 2015
  5. Descendant · 3 generations on · 7 of its ownK162199 Cascade IOMAX Intraoperative MonitorCadwell Industries, Inc. · 2017 · Recalled
  6. Descendant · 4 generations on · 5 of its ownK212166 ISIS Headboxes, ISIS Neurostimulator, ISIS Xpert Plus, ISIS Xpert…Inomed Medizintechnik GmbH · 2022
  7. Descendant · 5 generations on · 1 of its ownK233292 ISIS Headboxes, ISIS Neurostimulator, ISIS Xpert Plus, ISIS Xpert…Inomed Medizintechnik GmbH · 2023

Showing 5 of 13 descendants. See all descendants

Descendants cleared per year

2005: 12012: 12015: 22017: 12018: 12019: 12022: 22023: 32026: 1
2005high 3 (2023) · low 0 (2006)2026

Most influential descendants

Showing 5 of 13 · See all
  • K051178Mee-1000A NeuromasterNihon Kohden America, Inc. · 2005 · cites it directly10descendants
  • K142624Neuromaster G1 MEE200Nihon Kohden Corporation · 2015 · 2 generations on8descendants
  • K162199Cascade IOMAX Intraoperative MonitorCadwell Industries, Inc. · 2017 · 3 generations on7descendants
  • K212166ISIS Headboxes, ISIS Neurostimulator, ISIS Xpert Plus, ISIS Xpert, ISIS XpressInomed Medizintechnik GmbH · 2022 · 4 generations on5descendants
  • K233292ISIS Headboxes, ISIS Neurostimulator, ISIS Xpert Plus, ISIS Xpert, ISIS XpressInomed Medizintechnik GmbH · 2023 · 5 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K950208Nihon Kohden Neuropack Sigma Meb-5500A Evoked Response & Emg Measuring SystemNihon Kohden America, Inc.1995—
0 (this device)K991899Nihon Kohden Meb-2200A Neuropack Evoked Potential & Emg Measuring System with…Nihon Kohden America, Inc.1999—
+1K051178Mee-1000A NeuromasterNihon Kohden America, Inc.20051
+2K142624Neuromaster G1 MEE200Nihon Kohden Corporation2015—
+3K162199Cascade IOMAX Intraoperative MonitorCadwell Industries, Inc.20173
+4K212166ISIS Headboxes, ISIS Neurostimulator, ISIS Xpert Plus, ISIS Xpert, ISIS XpressInomed Medizintechnik GmbH2022—
+5K233292ISIS Headboxes, ISIS Neurostimulator, ISIS Xpert Plus, ISIS Xpert, ISIS XpressInomed Medizintechnik GmbH2023—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200510
201210
201520
201710
201810
201910
202220
202330
202610
FIG. 1 — Lineage of K991899, 1995–2026Source: 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 GWF? 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 GWF device

  1. #1 K263010 ISIS Headboxes, ISIS Neurostimulator, ISIS…score 17.5 · 19 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? (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
*K950208Nihon Kohden Neuropack Sigma Meb-5500A Evoked Response & Emg Measuring System
Summary page 1
…device include Evoked Response, Evoked Potential (EP) and Electromyograph (EMG). The predicate marketed device is the Nihon Kohden MEB-5500A Neuropack Sigma per 510(k) #K950208, commercial distribution certification dated May 10, 1995. Nihon Kohden'’s, model number MEB-2200A is intended for medical purpo…
Nihon Kohden America, Inc.1995—

What descends from it? (13)

See all 13

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

NumberDeviceApplicantDecidedDescendants
K051178Mee-1000A NeuromasterNihon Kohden America, Inc.200510
K120397Meb-2300A Neuropack Evoked Potential and Emg Measuring SystemNihon Kohden Corp.20121

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

Recalls of this device

DateClassRecallRoot causeReason
Aug 23, 2006Not classifiedZ-0218-2007OtherWhen the device is subject to physical shock, such as a drop to the floor, it may output a different value from the preset value. This may result in a superficial burn on the patient if the stimulation is done for a long time.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has no recall.
  • Of its descendants, K051178 (Nihon Kohden America, Inc., 2005) has gone furthest, with 10 descendants of its own.

How does its category compare?

All GWF devices

GWF Stimulator, Electrical, Evoked Response: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · GWF

1in 2025

2007: 32008: 22009: 52010: 32011: 22012: 42013: 32014: 12015: 22016: 12017: 32019: 12020: 12021: 22022: 22023: 22024: 42025: 12026 (partial year): 3
2007high 5 (2009) · low 0 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GWF

92in 2024

2007: 69 days median2009: 178 days median2010: 269 days median2012: 230 days median2013: 174 days median2017: 169 days median2024: 92 days median2026 (partial year): 125 days median
2007high 269 (2010) · low 69 (2007)2026

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

Recalls per year · GWF

2so far in 2026, the most since 2007

2012: 12015: 12026 (partial year): 2
2007high 2 (2026) · low 0 (2007)2026

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

Adverse event reports per year · GWF

1,034in 2025

2007: 22008: 12009: 12010: 42011: 102012: 442013: 892014: 252015: 222016: 202017: 602018: 582019: 942020: 652021: 552022: 452023: 1502024: 8542025: 1,034
2007high 1,034 (2025) · low 1 (2008)2025

MAUDE reports naming product code GWF, 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
200736902
20082—01
2009517801
2010326904
20112—010
20124230144
20133174089
20141—025
20152—122
20161—020
20173169060
20180—058
20191—094
20201—065
20212—055
20222—045
20232—0150
20244920854
20251—01,034
202631252—

What is it indicated for?

The MEB-2200A Neuropack Evoked Potential and EMG Measuring System is intended to monitor, record and display the bioelectric signals produced by muscles, to stimulate peripheral nerves, and to monitor, record and display the electrical activity produced by nerves to aid the clinician in the diagnosis and prognosis of neuromuscular disease (EMG). The device is also intended to measure and display nerve conduction time by applying a stimulus to a patient's…

Read the full statement (213 words)

The MEB-2200A Neuropack Evoked Potential and EMG Measuring System is intended to monitor, record and display the bioelectric signals produced by muscles, to stimulate peripheral nerves, and to monitor, record and display the electrical activity produced by nerves to aid the clinician in the diagnosis and prognosis of neuromuscular disease (EMG). The device is also intended to measure and display nerve conduction time by applying a stimulus to a patient's nerve (NCV). The device may use electrical stimulus, visual stimulus, or sound stimulus for use in evoked response measurements (EP). The device may be used to determine autonomic responses as psychological indicators by measuring the electrical resistance of the skin and the tissue path between two electrodes applied to the skin. The device may also measure and record the electrical activity of the patient's brain obtained by placing two or more electrodes on the head (EEG).

The device is intended for use by medical personnel within a hospital, laboratory, clinic or nursing home setting or outside of a medical facility under direct supervision of a medical professional. The device may also be placed in the intensive care unit or operating room for continuous recording.

The device is available for use on any patient as determined by the medical professional including adults and children.

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. “K991899: Nihon Kohden Meb-2200A Neuropack Evoked Potential & Emg Measuring System with Accessories.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K991899

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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