510(k) Report

510(k) · Cleared

Recalled · Class II · 2025

Pacific Hemostasis Thromboplastin D

K994100510(k) TraditionalCleared Feb 18, 200077-day reviewClass II21 CFR 864.7750Recalls 2

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

Pacific Hemostasis · GJS Test, Time, Prothrombin

Cleared on Feb 18, 2000 as substantially equivalent to K901325 (Baxter Healthcare Corp, 1990) after a 77-day review. Its family tree reaches back 1 generation to 1990. 1 later device descends from it. It has been recalled 2 times.

Decided
Feb 18, 2000
Review
77 days
Class
Class II
Product code
GJS
Recalls
2
Predicates
1

Its longest line of descent runs back 1 generation to K901325 (1990). 1 later device descends from it, 1 citing it directly.

Descendants, by year cleared 2007: 1 descendant clearedK901325 · Thromboplastin.C Plus · Baxter Healthcare Corp · 19901990200020102020
Descendants, by generation 1 generation forward: 1 descendant K901325 · Thromboplastin.C Plus · Baxter Healthcare Corp · 19900
  1. Root · 1 generation backK901325 Thromboplastin.C PlusBaxter Healthcare Corp · 1990
  2. This deviceK994100 Pacific Hemostasis Thromboplastin DPacific Hemostasis · 2000
  3. Descendant · cites it directly · 0 of its ownK060968 Stasis - I, II and Iii; Serathan - a, B; Intrin - EA, SI Calcium…Wortham Laboratories, Inc. · 2007

Most influential descendants

Showing 1 of 1 · See all
  • K060968Stasis - I, II and Iii; Serathan - a, B; Intrin - EA, SI Calcium Chloride 0.02M…Wortham Laboratories, Inc. · 2007 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K901325Thromboplastin.C PlusBaxter Healthcare Corp1990—
0 (this device)K994100Pacific Hemostasis Thromboplastin DPacific Hemostasis2000—
+1K060968Stasis - I, II and Iii; Serathan - a, B; Intrin - EA, SI Calcium Chloride…Wortham Laboratories, Inc.2007—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200710
FIG. 1 — Lineage of K994100, 1990–2007Source: 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 GJS? 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 GJS device

  1. #1 K243543 microINR Systemscore 13.4 · 6 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
*K901325Thromboplastin.C Plus
Summary page 1
…s Thromboplastin D Common Name: Thromboplastin D Classification Name: Prothrombin Time Test, per 21 CFR section 864.7750 Comparison Device: Dade Thromboplastin C Plus, K901325 Description of the Device and Intended Use Pacific Hemostasis Thromboplastin D is a lyophilized extract of rabbit brain thrombo…
Baxter Healthcare Corp1990—

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K060968Stasis - I, II and Iii; Serathan - a, B; Intrin - EA, SI Calcium Chloride 0.02M…Wortham Laboratories, Inc.20070

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

Recalls of this device

DateClassRecallRoot causeReason
Mar 6, 2025Class IIZ-1503-2025Employee errorThe incorrect value of the International Sensitivity Index (ISI) is printed on the outer box label.
Mar 6, 2025Class IIZ-1502-2025Employee errorThe incorrect value of the International Sensitivity Index (ISI) is printed on the outer box label.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has no recall.
  • Of its descendants, K060968 (Wortham Laboratories, Inc., 2007) has gone furthest, with 0 descendants of its own.

How does its category compare?

All GJS devices

GJS Test, Time, Prothrombin: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · GJS

3in 2025

2007: 42008: 12010: 42012: 12013: 12014: 12016: 12017: 12018: 22019: 22020: 12022: 32023: 22024: 12025: 3
2007high 4 (2007) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GJS

60in 2025

2007: 77 days median2010: 168 days median2022: 399 days median2025: 60 days median
2007high 399 (2022) · low 60 (2025)2026

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

Recalls per year · GJS

1in 2022

2007: 52008: 32009: 42010: 22011: 12012: 12013: 12014: 4, 3 Class I2017: 52018: 3, 2 Class I2020: 22021: 12022: 1
2007high 5 (2007) · low 0 (2015)2026

Class I (5 since 2007) Class II/III not classified

Adverse event reports per year · GJS

105in 2025

2007: 4392008: 4202009: 8762010: 2,1772011: 2,9652012: 2,1982013: 2,5842014: 2,3972015: 1,2602016: 8642017: 5322018: 1,9582019: 2,3852020: 1,3902021: 1,3592022: 1,2102023: 8092024: 1772025: 105
2007high 2,965 (2011) · low 105 (2025)2025

MAUDE reports naming product code GJS, 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
20074775439
20081—3420
20090—4876
2010416822,177
20110—12,965
20121—12,198
20131—12,584
20141—4 (3)2,397
20150—01,260
20161—0864
20171—5532
20182—3 (2)1,958
20192—02,385
20201—21,390
20210—11,359
2022339911,210
20232—0809
20241—0177
20253600105
20260—0—

What is it indicated for?

Pacific Hemostasis Thromboplastin D is intended for use for performing the

one-stage Prothrombin Time test (PT) and PT-based factor assays.

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. “K994100: Pacific Hemostasis Thromboplastin D.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K994100

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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