510(k) Report

510(k) · Cleared

Cleared

Reverso

K994306510(k) TraditionalCleared Mar 20, 200090-day reviewClass II21 CFR 876.5820

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

Medisystems Corp. · KOC Accessories, Blood Circuit, Hemodialysis

Cleared on Mar 20, 2000 as substantially equivalent to K953823 (Medisystems Corp., 1996) after a 90-day review. Its family tree reaches back 1 generation to 1996. 9 later devices descend from it.

Decided
Mar 20, 2000
Review
90 days
Class
Class II
Product code
KOC
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K953823 (1996). 9 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2014: 1 descendant cleared2002: 1 descendant cleared2017: 1 descendant cleared2024: 1 descendant cleared2020: 1 descendant cleared2025: 3 descendants cleared2023: 1 descendant clearedK953823 · Arterial Venous Blood Tubing Set · Medisystems Corp. · 19961995200020052010201520202025
Descendants, by generation 1 generation forward: 2 descendants2 generations forward: 1 descendant3 generations forward: 2 descendants4 generations forward: 2 descendants5 generations forward: 2 descendants K953823 · Arterial Venous Blood Tubing Set · Medisystems Corp. · 19960+5
  1. Root · 1 generation backK953823 Arterial Venous Blood Tubing SetMedisystems Corp. · 1996
  2. This deviceK994306 ReversoMedisystems Corp. · 2000
  3. Descendant · cites it directly · 7 of its ownK022536 \Resenius Access Flow Reserving Connectors, Fresenius Standalone…Fresenius Medical Care · 2002 · Recalled
  4. Descendant · 2 generations on · 6 of its ownK172238 CAREline Airless Hemodialysis Blood Tubing SetsFresenius Medical Care Renal Therapies Group, LLC · 2017
  5. Descendant · 3 generations on · 5 of its ownK201207 CombiSet SMARTECH Hemodialysis Blood Tubing Set with attached…Fresenius Medical Care Renal Therapies Group, LLC · 2020
  6. Descendant · 3 generations on · 2 of its ownK231534 5008X Hemodialysis SystemFresenius Medical Care · 2024 · Recalled
  7. Descendant · 4 generations on · 1 of its ownK243505 5008X Hemodialysis SystemFresenius Medical Care Renal Therapies Group, LLC · 2025 · Recalled

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2002: 12014: 12017: 12020: 12023: 12024: 12025: 3
2002high 3 (2025) · low 0 (2003)2026

Most influential descendants

Showing 5 of 9 · See all
  • K022536\Resenius Access Flow Reserving Connectors, Fresenius Standalone Accces Flow Reserving…Fresenius Medical Care · 2002 · cites it directly7descendants
  • K172238CAREline Airless Hemodialysis Blood Tubing SetsFresenius Medical Care Renal Therapies Group, LLC · 2017 · 2 generations on6descendants
  • K201207CombiSet SMARTECH Hemodialysis Blood Tubing Set with attached Priming Set and Integrated…Fresenius Medical Care Renal Therapies Group, LLC · 2020 · 3 generations on5descendants
  • K2315345008X Hemodialysis SystemFresenius Medical Care · 2024 · 3 generations on2descendants
  • K2435055008X Hemodialysis SystemFresenius Medical Care Renal Therapies Group, LLC · 2025 · 4 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K953823Arterial Venous Blood Tubing SetMedisystems Corp.1996—
0 (this device)K994306ReversoMedisystems Corp.2000—
+1K022536\Resenius Access Flow Reserving Connectors, Fresenius Standalone Accces Flow…Fresenius Medical Care20023
+2K172238CAREline Airless Hemodialysis Blood Tubing SetsFresenius Medical Care Renal Therapies Group, LLC2017—
+3K201207CombiSet SMARTECH Hemodialysis Blood Tubing Set with attached Priming Set and…Fresenius Medical Care Renal Therapies Group, LLC2020—
+3K2315345008X Hemodialysis SystemFresenius Medical Care20241
+4K2435055008X Hemodialysis SystemFresenius Medical Care Renal Therapies Group, LLC20256

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200210
201410
201710
202010
202310
202410
202530
FIG. 1 — Lineage of K994306, 1996–2025Source: 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 KOC? 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 KOC device

  1. #1 K230514 Blood Tubing Lines for Hemodialysis AL Series…score 11.8 · 2 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
*K953823Arterial Venous Blood Tubing Set
Summary page 1
…at are the subject of this submission are substantially equivalent to Blood Tubing Sets marketed by Medisystems and described in Medisystems’ Premarket Clearance number K953823. VII. Product description: A series of blood tubing set accessories to be used as part of the extracorporeal circuit. ' VIII. S…
Medisystems Corp.1996—

Also cleared against K953823: 2 other devices →

What descends from it? (9)

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

NumberDeviceApplicantDecidedDescendants
K022536\Resenius Access Flow Reserving Connectors, Fresenius Standalone Accces Flow Reserving…Fresenius Medical Care20027
K132602Streamline ExpressNxstage Medical, Inc.20140

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, K022536 (Fresenius Medical Care, 2002) has gone furthest, with 7 descendants of its own.
  • 2 other devices also cite its predicate K953823.

How does its category compare?

All KOC devices

KOC Accessories, Blood Circuit, Hemodialysis: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KOC

2in 2025

2007: 12008: 22009: 22012: 12014: 12015: 22016: 12017: 12020: 12023: 22025: 2
2007high 2 (2008) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KOC

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

Recalls per year · KOC

4so far in 2026, the most since 2007

2008: 22012: 12014: 12018: 32026 (partial year): 4
2007high 4 (2026) · low 0 (2007)2026

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

Adverse event reports per year · KOC

50in 2025

2007: 32008: 122009: 122010: 42011: 102012: 22013: 222014: 1652015: 5552016: 102017: 232018: 372019: 562020: 202021: 332022: 262023: 162024: 182025: 50
2007high 555 (2015) · low 2 (2012)2025

MAUDE reports naming product code KOC, 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
20071—03
20082—212
20092—012
20100—04
20110—010
20121—12
20130—022
20141—1165
20152—0555
20161—010
20171—023
20180—337
20190—056
20201—020
20210—033
20220—026
20232—016
20240—018
20252—050
20260—4—

What is it indicated for?

Medisystems Blood Tubing Set Accessories are indicated for use as a part of an extracorporeal blood circuit for hemodialysis. The specific indications for use each accessory are as follows: a. The Reverso™ is indicated for use as an access flow reversing valve to reverse the blood flow to and from the arterial and venous access devices during hemodialysis procedures without the need to clamp and disconnect bloodlines. b. The Recirculation Connector is…

Read the full statement (136 words)

Medisystems Blood Tubing Set Accessories are indicated for use as a part of an extracorporeal blood circuit for hemodialysis. The specific indications for use each accessory are as follows:

a. The Reverso™ is indicated for use as an access flow reversing valve to reverse the blood flow to and from the arterial and venous access devices during hemodialysis procedures without the need to clamp and disconnect bloodlines.

b. The Recirculation Connector is indicated for use as a male to male Luer adaptor.

c. The Parallel Dialyzer Connector is indicated for use to interconnect two hemodialyzers in parallel as prescribed by the physician as part of the extracorporeal blood system.

d. The Series Dialyzer Connector is indicated for use to interconnect two hemodialyzers in series as prescribed by the physician as part of the extracorporeal blood system.

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. “K994306: Reverso.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K994306

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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