510(k) Report

510(k) · Cleared

Cleared

Arteria Occlusion Balloon

K021210510(k) TraditionalCleared Oct 28, 2002194-day reviewClass II21 CFR 870.4450

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

Arteria Medical Science, Inc. · MJN Catheter, Intravascular Occluding, Temporary

Cleared on Oct 28, 2002 as substantially equivalent to K990487 (Micro Therapeutics, Inc., 1999) and 1 other predicate after a 194-day review. Its family tree reaches back 1 generation to 1999. 2 of the 9 devices in its family, counting itself, have a Class I recall. 6 later devices descend from it.

Decided
Oct 28, 2002
Review
194 days
Class
Class II
Product code
MJN
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K990487 (1999). 2 ancestors in all. 6 later devices descend from it, 1 citing it directly. 2 of the 9 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor2009: 2 descendants cleared2015: 1 descendant cleared2012: 1 descendant cleared2016: 1 descendant cleared, 1 with a Class I recall12023: 1 descendant cleared, 1 with a Class I recall1K990487 · Equinox Occlusion Balloon System · Micro Therapeutics, Inc. · 19991995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 1 descendant2 generations forward: 3 descendants3 generations forward: 1 descendant, 1 with a Class I recall14 generations forward: 1 descendant, 1 with a Class I recall1 K990487 · Equinox Occlusion Balloon System · Micro Therapeutics, Inc. · 19990
  1. Root · 1 generation backK990487 Equinox Occlusion Balloon SystemMicro Therapeutics, Inc. · 1999
  2. This deviceK021210 Arteria Occlusion BalloonArteria Medical Science, Inc. · 2002
  3. Descendant · cites it directly · 5 of its ownK083300 Gore Flow Reversal SystemW. L. Gore & Associates, Inc. · 2009
  4. Descendant · 2 generations on · 2 of its ownK143072 ENROUTE Transcarotid Neuroprotection SystemSilk Road Medical, Inc. · 2015
  5. Descendant · 3 generations on · 1 of its ownK153485 ENROUTE Transcarotid Neuroprotection SystemSilk Road Medical, Inc. · 2016 · Recalled (Class I)
  6. Descendant · 4 generations on · 0 of its ownK230402 ENROUTE® Transcarotid Neuroprotection SystemSilk Road Medical · 2023 · Recalled (Class I)
  7. Descendant · 2 generations on · 0 of its ownK123156 Gore Flow Reversal System Model GFRS073W. L. Gore & Associates, Inc. · 2012

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2009: 22012: 12015: 12016: 12023: 1
2009high 2 (2009) · low 0 (2010)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 6 · See all
  • K083300Gore Flow Reversal SystemW. L. Gore & Associates, Inc. · 2009 · cites it directly5descendants
  • K143072ENROUTE Transcarotid Neuroprotection SystemSilk Road Medical, Inc. · 2015 · 2 generations on2descendants
  • K153485ENROUTE Transcarotid Neuroprotection SystemSilk Road Medical, Inc. · 2016 · 3 generations on1descendant
  • K230402ENROUTE® Transcarotid Neuroprotection SystemSilk Road Medical · 2023 · 4 generations on0descendants
  • K123156Gore Flow Reversal System Model GFRS073W. L. Gore & Associates, Inc. · 2012 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K990487Equinox Occlusion Balloon SystemMicro Therapeutics, Inc.1999—
0 (this device)K021210Arteria Occlusion BalloonArteria Medical Science, Inc.2002—
+1K083300Gore Flow Reversal SystemW. L. Gore & Associates, Inc.2009—
+2K143072ENROUTE Transcarotid Neuroprotection SystemSilk Road Medical, Inc.2015—
+3K153485ENROUTE Transcarotid Neuroprotection SystemSilk Road Medical, Inc.2016Class I
+4K230402ENROUTE® Transcarotid Neuroprotection SystemSilk Road Medical2023Class I
+2K123156Gore Flow Reversal System Model GFRS073W. L. Gore & Associates, Inc.2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200920
201210
201510
201611
202311
FIG. 1 — Lineage of K021210, 1999–2023Source: 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.

2 devices in this family have a Class I recall. 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 MJN device

  1. #1 K243795 pREBOA-PRO Catheterscore 12.1 · 8 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? (2)

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
*K990487Equinox Occlusion Balloon System
Summary page 1
…Catheter Classification Name: Catheter, Intravascular Occluding Temporary Predicate Devices MicroTherapeutics, Inc., EquinoxTMOcclusion Balloon Catheter, K990487 MicroTherapeutics, Inc., HyperFonnTMOcclusion Balloon Catheter, KO1 1656 Description of Device The ArteriA Occlusion…
Micro Therapeutics, Inc.1999—
*K011656Hyperform Occlusion Balloon System, Model 104-4470, 104-4471, 104-4770, 104-4771Micro Therapeutics, Inc.2001—

Also cleared against K990487: 5 other devices →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K083300Gore Flow Reversal SystemW. L. Gore & Associates, Inc.20095

Has anything in its family been recalled? (2 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K153485ENROUTE Transcarotid Neuroprotection SystemSilk Road Medical, Inc. · 2016 · 3 generations on · ◆ in the 2016 descendants bar of FIG. 11 Class I recall
  • K230402ENROUTE® Transcarotid Neuroprotection SystemSilk Road Medical · 2023 · 4 generations on · ◆ in the 2023 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • None of the 2 ancestors has a recall.
  • Of its descendants, K083300 (W. L. Gore & Associates, Inc., 2009) has gone furthest, with 5 descendants of its own.
  • 5 other devices also cite its predicate K990487.

How does its category compare?

All MJN devices

MJN Catheter, Intravascular Occluding, Temporary: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MJN

2in 2025

2007: 22008: 32009: 52010: 52011: 42012: 22013: 42014: 22015: 42016: 32017: 32018: 32019: 32020: 42021: 42022: 22023: 12025: 2
2007high 5 (2009) · low 0 (2024)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MJN

116in 2021

2008: 153 days median2009: 39 days median2010: 30 days median2011: 69 days median2013: 87 days median2015: 245 days median2016: 110 days median2017: 54 days median2018: 63 days median2019: 117 days median2020: 64 days median2021: 116 days median
2007high 245 (2015) · low 30 (2010)2026

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

Recalls per year · MJN

1in 2020

2008: 22010: 12011: 12013: 82015: 12016: 22018: 12020: 1
2007high 8 (2013) · low 0 (2007)2026

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

Adverse event reports per year · MJN

194in 2025

2007: 252008: 262009: 252010: 352011: 922012: 532013: 762014: 1002015: 902016: 712017: 1572018: 1072019: 1392020: 1572021: 1582022: 1482023: 1812024: 2242025: 194
2007high 224 (2024) · low 25 (2007)2025

MAUDE reports naming product code MJN, 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
20072—025
20083153226
2009539025
2010530135
2011469192
20122—053
2013487876
20142—0100
20154245190
20163110271
20173540157
20183631107
201931170139
20204641157
202141160158
20222—0148
20231—0181
20240—0224
20252—0194
20260—0—

What is it indicated for?

The ArteriA Occlusion Balloon is indicated for use as an intravascular occluding catheter with an inflatable balloon tip that is used for temporary occlusion of vessels, The technique of temporary occlusion is useful in selectively stopping or controlling blood flow. The ArteriA Occlusion Balloon may be used in the peripheral and neuro-vasculature where temporary occlusion is desired during endovascular procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K021210: Arteria Occlusion Balloon.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K021210

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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