FDA cleared the VarioSurg 4 from Nakanishi, Inc. on Dec 23, 2025 under K254163, a traditional 510(k) reviewed through the Third Party Review Program. The device falls under product code DZI, Drill, Bone, Powered, regulated at 21 CFR 872.4120 as a Class 2 device. The review panel was Dental.

FDA logged the submission as received on Dec 22, 2025. The decision came 1 days later, inside the 90 FDA-day goal for a 510(k).

Nakanishi, Inc. has 3 other decisions in the tracker over the last 12 months: K260773 (Varios Combi Pro2), K251689 (VARIOS 170 LUX SCALER SYSTEM (VA170LUXS10); VARIOS 170 LUX SCALER SYSTEM (VA170LUXS11); VARIOS 170 SCALER SYSTEM (VA170S11)), K252662 (UniBur).