Cleared Traditional

K112874 - EZ VEIN INFLATABLE TOURNIQUET

K112874 is an FDA 510(k) clearance for EZ VEIN INFLATABLE TOURNIQUET, manufactured by Dominion Medical Devices, LLC. The device is a Class 1 General & Plastic Surgery device with product code KCY cleared through the Traditional 510(k) pathway after a 17-day FDA review.

K112874 · Dominion Medical Devices, LLC · General & Plastic Surgery device
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Oct 2011
Decision
17d
Days
Class 1
Risk

K112874 is an FDA 510(k) clearance for the EZ VEIN INFLATABLE TOURNIQUET. Classified as Tourniquet, Pneumatic (product code KCY), Class I - General Controls.

Submitted by Dominion Medical Devices, LLC (Stillwater, US). The FDA issued a Cleared decision on October 17, 2011 after a review of 17 days - a notably fast clearance cycle.

This device falls under the General & Plastic Surgery FDA review panel, regulated under 21 CFR 878.5910 - the FDA general and plastic surgery device framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: Fast-track predicate clearance. Standard predicate reliance. The short review cycle indicates strong predicate alignment - the FDA found sufficient equivalence without extended technical review.

View all Dominion Medical Devices, LLC devices

FDA 510(k) Submission Details - K112874

510(k) Number K112874 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received September 30, 2011
Decision Date October 17, 2011
Days to Decision 17 days
Submission Type Traditional
Review Panel General & Plastic Surgery (SU)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Regulatory Context
Review time vs. panel average
98d faster than avg
Panel avg: 115d · This submission: 17d
Pathway characteristics
Predicate-based equivalence.

KCY Device Classification - Class 1, General Controls

Product Code KCY Tourniquet, Pneumatic
Device Class Class 1 - General Controls
CFR Regulation 21 CFR 878.5910
What this classification means

Class I devices are subject to general controls only and most are exempt from 510(k) premarket notification. They represent the lowest regulatory burden in the FDA device framework.

Regulatory Peers - KCY Tourniquet, Pneumatic

All 16
Devices cleared under the same product code (KCY) and FDA review panel - the closest regulatory comparables to K112874.
ATS 5000 Automatic Tourniquet Instrument
K202919 · Mcewen and Associates Consulting , Ltd. · May 2021
ZIMMER A.T.S. 4000TS AUTOMATIC TOURNIQUET SYSTEM
K123553 · Zimmer, Inc. · Aug 2013
ZIMMER A.T.S. 3000 AUTOMATIC TOURNIQUET SYSTEM
K050411 · Zimmer, Inc. · Sep 2005
EXPRESSAIRE TORUNIQUET SYSTEM
K955552 · Smith & Nephew Richards, Inc. · Jan 1996
BUONAFEDE PNEUMATIC SLEEVE
K954201 · Promedic, Inc. · Nov 1995
DEROYAL INDUSTRIES, INC. PNEUMATIC TOURNIQUET CUFF
K953953 · Deroyal Industries, Inc. · Sep 1995