510(k) Report

510(k) · Cleared

Cleared

Csecure Combined Spinal/Epidural Anesthesia System with Lock

K993619510(k) TraditionalCleared Apr 28, 2000185-day reviewClass II21 CFR 868.5150

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

Sims Portex, Inc. · BSP Needle, Conduction, Anesthetic (W/Wo Introducer)

Cleared on Apr 28, 2000 as substantially equivalent to K932249 (Bd Becton Dickinson Vacutainer Systems Preanalytic, 1993) after a 185-day review. Its family tree reaches back 1 generation to 1993. 3 later devices descend from it.

Decided
Apr 28, 2000
Review
185 days
Class
Class II
Product code
BSP
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K932249 (1993). 3 later devices descend from it, 1 citing it directly.

Descendants, by year cleared 2018: 1 descendant cleared2022: 2 descendants clearedK932249 · Durasafe B-D Combined Spinal Epidural Anesthesia · Bd Becton Dickinson Vacutainer Systems Preanalytic · 19931990200020102020
Descendants, by generation 1 generation forward: 1 descendant2 generations forward: 2 descendants K932249 · Durasafe B-D Combined Spinal Epidural Anesthesia · Bd Becton Dickinson Vacutainer Systems Preanalytic · 19930
  1. Root · 1 generation backK932249 Durasafe B-D Combined Spinal Epidural AnesthesiaBd Becton Dickinson Vacutainer Systems Preanalytic · 1993
  2. This deviceK993619 Csecure Combined Spinal/Epidural Anesthesia System with LockSims Portex, Inc. · 2000
  3. Descendant · cites it directly · 2 of its ownK171518 Epidural Anesthesia Needles, Spinal Anesthesia Needles, Combined…Zhejiang Kindly Medical Devices Co., Ltd. · 2018
  4. Descendant · 2 generations on · 0 of its ownK212982 Medispine - Spinal Needle, Glospine - Spinal NeedleGlobal Medikit Limited · 2022
  5. Descendant · 2 generations on · 0 of its ownK211085 BD Perisafe Tuohy Epidural Needle, BD Perisafe Weiss Epidural NeedleBecton, Dickinson and Company · 2022

Most influential descendants

Showing 3 of 3 · See all
  • K171518Epidural Anesthesia Needles, Spinal Anesthesia Needles, Combined Anesthesia NeedlesZhejiang Kindly Medical Devices Co., Ltd. · 2018 · cites it directly2descendants
  • K212982Medispine - Spinal Needle, Glospine - Spinal NeedleGlobal Medikit Limited · 2022 · 2 generations on0descendants
  • K211085BD Perisafe Tuohy Epidural Needle, BD Perisafe Weiss Epidural NeedleBecton, Dickinson and Company · 2022 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K932249Durasafe B-D Combined Spinal Epidural AnesthesiaBd Becton Dickinson Vacutainer Systems Preanalytic1993—
0 (this device)K993619Csecure Combined Spinal/Epidural Anesthesia System with LockSims Portex, Inc.2000—
+1K171518Epidural Anesthesia Needles, Spinal Anesthesia Needles, Combined Anesthesia…Zhejiang Kindly Medical Devices Co., Ltd.2018—
+2K212982Medispine - Spinal Needle, Glospine - Spinal NeedleGlobal Medikit Limited2022—
+2K211085BD Perisafe Tuohy Epidural Needle, BD Perisafe Weiss Epidural NeedleBecton, Dickinson and Company2022—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201810
202220
FIG. 1 — Lineage of K993619, 1993–2022Source: 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 BSP? 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 BSP device

  1. #1 K241954 SonoBlock; SonoBlock IIscore 11.0 · 1 generation · 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
*K932249Durasafe B-D Combined Spinal Epidural Anesthesia
Summary page 1
…10 Bowman Drive PO Box 0724 Keene NH 03431 USA Telephone: 603-352-3812 Fax: 603-352-3703 Becton-Dickinson Durasafe™ Combined Spinal/Epidural Anesthesia Needle Set, K932249. DESCRIPTION: Combined Spinal/Epidural Anesthesia Needles are instruments used for a spinal (subarachnoid) injec…
Bd Becton Dickinson Vacutainer Systems Preanalytic1993—

Also cleared against K932249: 2 other devices →

What descends from it? (3)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K171518Epidural Anesthesia Needles, Spinal Anesthesia Needles, Combined Anesthesia NeedlesZhejiang Kindly Medical Devices Co., Ltd.20182

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?

  • Its one ancestor has no recall.
  • Of its descendants, K171518 (Zhejiang Kindly Medical Devices Co., Ltd., 2018) has gone furthest, with 2 descendants of its own.
  • 2 other devices also cite its predicate K932249.

How does its category compare?

All BSP devices

BSP Needle, Conduction, Anesthetic (W/Wo Introducer): FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · BSP

4in 2025

2007: 32008: 82009: 52010: 32011: 32012: 32013: 22014: 22015: 22016: 62017: 42018: 82019: 22020: 32021: 32022: 22024: 32025: 4
2007high 8 (2008) · low 0 (2023)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · BSP

170in 2025

2007: 189 days median2008: 127 days median2009: 97 days median2010: 79 days median2011: 114 days median2012: 148 days median2016: 268 days median2017: 186 days median2018: 241 days median2020: 269 days median2021: 265 days median2024: 70 days median2025: 170 days median
2007high 269 (2020) · low 70 (2024)2026

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

Recalls per year · BSP

1in 2020

2016: 12019: 12020: 12026 (partial year): 1, 1 Class I
2007high 1 (2016) · low 0 (2007)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · BSP

86in 2025

2007: 262008: 242009: 302010: 492011: 332012: 202013: 322014: 412015: 382016: 1522017: 342018: 692019: 862020: 782021: 522022: 842023: 752024: 662025: 86
2007high 152 (2016) · low 20 (2012)2025

MAUDE reports naming product code BSP, 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
20073189026
20088127024
2009597030
2010379049
20113114033
20123148020
20132—032
20142—041
20152—038
201662681152
20174186034
20188241069
20192—186
20203269178
20213265052
20222—084
20230—075
2024370066
20254170086
20260—1 (1)—

What is it indicated for?

The combined spinal epidural needle kit is intended for injection of local anesthetics

into the intrathecal space via a spinal needle introduced through the epidural needle,

and injection of local anesthetics into the epidural space via the epidural needle, or via

an epidural catheter passed through the epidural needle.

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. “K993619: Csecure Combined Spinal/Epidural Anesthesia System with Lock.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K993619

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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