510(k) Report

PMA · Approved

Approved

Lithostar

P870018PMAApproved Sep 30, 1988521-day reviewClass II21 CFR 876.5990

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

Siemens Corp. · LNS Lithotriptor, Extracorporeal Shock-Wave, Urological

Approved on Sep 30, 1988 through premarket approval, which rests on the device’s own clinical evidence after a 521-day review. 23 later devices descend from it.

Decided
Sep 30, 1988
Review
521 days
Class
Class II
Product code
LNS
Recalls
None

23 later devices descend from it, 3 citing it directly.

Descendants, by year cleared 2003: 1 descendant cleared2007: 2 descendants cleared2001: 1 descendant cleared2004: 2 descendants cleared2013: 1 descendant cleared2009: 1 descendant cleared2011: 2 descendants cleared2021: 1 descendant cleared2025: 1 descendant cleared2014: 1 descendant cleared2015: 2 descendants cleared2006: 3 descendants cleared2005: 1 descendant cleared2012: 1 descendant cleared2008: 1 descendant cleared2026: 2 descendants cleared1990200020102020
  1. This deviceP870018 LithostarSiemens Corp. · 1988
  2. Descendant · cites it directly · 14 of its ownK011873 Dornier Lithotripter S (Doli S) & Dornier Lithotripter S-XP (Doli…Dornier · 2001
  3. Descendant · 2 generations on · 9 of its ownK040470 Tripter X-1 CompactDirex Systems Corp. · 2004
  4. Descendant · 3 generations on · 8 of its ownK041582 Modification to Tripter X-1 Compact DuetDirex Systems Corp. · 2004
  5. Descendant · cites it directly · 6 of its ownK063504 Econolith EM1000Medispec, Ltd. · 2007
  6. Descendant · 4 generations on · 6 of its ownK053640 IntegraDirex Systems Corp. · 2006

Showing 5 of 23 descendants. See all descendants

Descendants cleared per year

2001: 12003: 12004: 22005: 12006: 32007: 22008: 12009: 12011: 22012: 12013: 12014: 12015: 22021: 12025: 12026: 2
2001high 3 (2006) · low 0 (2002)2026

Most influential descendants

Showing 5 of 23 · See all
  • K011873Dornier Lithotripter S (Doli S) & Dornier Lithotripter S-XP (Doli S-XP)Dornier · 2001 · cites it directly14descendants
  • K040470Tripter X-1 CompactDirex Systems Corp. · 2004 · 2 generations on9descendants
  • K041582Modification to Tripter X-1 Compact DuetDirex Systems Corp. · 2004 · 3 generations on8descendants
  • K063504Econolith EM1000Medispec, Ltd. · 2007 · cites it directly6descendants
  • K053640IntegraDirex Systems Corp. · 2006 · 4 generations on6descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)P870018LithostarSiemens Corp.1988—
+1K011873Dornier Lithotripter S (Doli S) & Dornier Lithotripter S-XP (Doli S-XP)Dornier2001—
+2K040470Tripter X-1 CompactDirex Systems Corp.2004—
+3K041582Modification to Tripter X-1 Compact DuetDirex Systems Corp.2004—
+1K063504Econolith EM1000Medispec, Ltd.2007—
+4K053640IntegraDirex Systems Corp.2006—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200110
200310
200420
200510
200630
200720
200810
200910
201120
201210
201310
201410
201520
202110
202510
202620
FIG. 1 — Lineage of P870018, 1988–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA PMA database (decision fields and supplements), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in LNS? 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 LNS device

  1. #1 K252913 Break Wavescore 15.5 · 7 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

Does it have a predicate?

PMA decisions do not claim a predicate device.

What descends from it? (23)

See all 23

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

NumberDeviceApplicantDecidedDescendants
K011873Dornier Lithotripter S (Doli S) & Dornier Lithotripter S-XP (Doli S-XP)Dornier200114
K063504Econolith EM1000Medispec, Ltd.20076
K033335Lithostar Modularis with Shockwave System CplusSiemens Medical Solutions USA, Inc.20030

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?

  • Of its descendants, K011873 (Dornier, 2001) has gone furthest, with 14 descendants of its own.

How does its category compare?

All LNS devices

LNS Lithotriptor, Extracorporeal Shock-Wave, Urological: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · LNS

1in 2025

2007: 42008: 22009: 12011: 32012: 32013: 22014: 22015: 22017: 22020: 12021: 12023: 22025: 12026 (partial year): 2
2007high 4 (2007) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LNS

111in 2012

2007: 146 days median2011: 307 days median2012: 111 days median
2007high 307 (2011) · low 111 (2012)2026

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

Recalls per year · LNS

1in 2015

2015: 1
2007high 1 (2015) · low 0 (2007)2026

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

Adverse event reports per year · LNS

61in 2025

2007: 42008: 102009: 22010: 152011: 212012: 202013: 182014: 212015: 222016: 502017: 542018: 592019: 602020: 382021: 552022: 522023: 862024: 402025: 61
2007high 86 (2023) · low 2 (2009)2025

MAUDE reports naming product code LNS, 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
2007414604
20082—010
20091—02
20100—015
20113307021
20123111020
20132—018
20142—021
20152—122
20160—050
20172—054
20180—059
20190—060
20201—038
20211—055
20220—052
20232—086
20240—040
20251—061
20262—0—
Cite this page

510(k) Report. “P870018: Lithostar.” Lineage record from FDA PMA data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/P870018

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Record history
  • FDA decision record loaded May 2, 2026
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026