510(k) Report

510(k) · Cleared

Recalled · 2008

Attain Access 6218A Left-Heart Delivery System, Model 6218

K021589510(k) SpecialCleared May 30, 200215-day reviewClass II21 CFR 870.1250Recalls 1

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

Medtronic Vascular · DQY Catheter, Percutaneous

Cleared on May 30, 2002 as substantially equivalent to K012083 (Medtronic Vascular, 2001) after a 15-day review. Its family tree reaches back 3 generations to 1977. 31 later devices descend from it. It has been recalled once.

Decided
May 30, 2002
Review
15 days
Class
Class II
Product code
DQY
Recalls
1
Predicates
1

Its longest line of descent runs back 3 generations to K770977 (1977). 30 ancestors in all. 31 later devices descend from it, 8 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor1999: 1 other ancestor1997: 1 other ancestor1995: 3 other ancestors1990: 5 other ancestors1994: 3 other ancestors1993: 1 other ancestor1992: 3 other ancestors1991: 1 other ancestor1989: 1 other ancestor1988: 1 other ancestor1987: 3 other ancestors1986: 1 other ancestor1985: 2 other ancestors2006: 5 descendants cleared2004: 2 descendants cleared2008: 2 descendants cleared2002: 1 descendant cleared2003: 2 descendants cleared2011: 2 descendants cleared2013: 1 descendant cleared2009: 1 descendant cleared2005: 1 descendant cleared2007: 1 descendant cleared2020: 2 descendants cleared2010: 1 descendant cleared2018: 2 descendants cleared2019: 2 descendants cleared2022: 1 descendant cleared2025: 3 descendants cleared2023: 1 descendant cleared2026: 1 descendant clearedK770977 · Cardiovascular Spring Guides · Lake Region Mfg., Inc. · 1977 · recalledK963320 · TFX Medical Guidewire · Tfx Medical Group · 1996K012083 · Attain Access 6218 Left-Heart Delivery System, Model 6218 · Medtronic Vascular · 200119801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 6 other ancestors3 generations back: 21 other ancestors 1 generation forward: 8 descendants2 generations forward: 6 descendants3 generations forward: 7 descendants4 generations forward: 4 descendants5 generations forward: 3 descendants6 generations forward: 2 descendants7 generations forward: 1 descendant K012083 · Attain Access 6218 Left-Heart Delivery System, Model 6218 · Medtronic Vascular · 2001K963320 · TFX Medical Guidewire · Tfx Medical Group · 1996K770977 · Cardiovascular Spring Guides · Lake Region Mfg., Inc. · 1977 · recalled0+5
  1. Root · 3 generations backK770977 Cardiovascular Spring GuidesLake Region Mfg., Inc. · 1977 · Recalled
  2. 2 generations backK963320 TFX Medical GuidewireTfx Medical Group · 1996
  3. 1 generation backK012083 Attain Access 6218 Left-Heart Delivery System, Model 6218Medtronic Vascular · 2001
  4. This deviceK021589 Attain Access 6218A Left-Heart Delivery System, Model 6218Medtronic Vascular · 2002
  5. Descendant · cites it directly · 29 of its ownK031211 Attain Prevail Steerable Catheter Set, Model 6228CTHMedtronic Vascular · 2003
  6. Descendant · cites it directly · 17 of its ownK042194 Attain Select 6238TEL Guide Catheter Set for Left-Heart DeliveryMedtronic Vascular · 2004
  7. Descendant · cites it directly · 14 of its ownK053431 Attain Select II 6248DEL Delivery Catheter SystemMedtronic, Ireland · 2006
  8. Descendant · cites it directly · 14 of its ownK024032 Attain 6216A-MP Multi-Purpose Guide Catheter for Left-Heart DeliveryMedtronic Vascular · 2002
  9. Descendant · cites it directly · 13 of its ownK080428 Attain Command 6250 Left Heart Delivery Systems and Attain Command…Medtronic, Inc. · 2008

Showing 5 of 31 descendants. See all descendants

Descendants cleared per year

2002: 12003: 22004: 22005: 12006: 52007: 12008: 22009: 12010: 12011: 22013: 12018: 22019: 22020: 22022: 12023: 12025: 32026: 1
2002high 5 (2006) · low 0 (2012)2026

Most influential descendants

Showing 5 of 31 · See all
  • K031211Attain Prevail Steerable Catheter Set, Model 6228CTHMedtronic Vascular · 2003 · cites it directly29descendants
  • K042194Attain Select 6238TEL Guide Catheter Set for Left-Heart DeliveryMedtronic Vascular · 2004 · cites it directly17descendants
  • K053431Attain Select II 6248DEL Delivery Catheter SystemMedtronic, Ireland · 2006 · cites it directly14descendants
  • K024032Attain 6216A-MP Multi-Purpose Guide Catheter for Left-Heart DeliveryMedtronic Vascular · 2002 · cites it directly14descendants
  • K080428Attain Command 6250 Left Heart Delivery Systems and Attain Command 6250 Guide Catheters…Medtronic, Inc. · 2008 · cites it directly13descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K770977Cardiovascular Spring GuidesLake Region Mfg., Inc.19771
−2K963320TFX Medical GuidewireTfx Medical Group1996—
−1K012083Attain Access 6218 Left-Heart Delivery System, Model 6218Medtronic Vascular2001—
0 (this device)K021589Attain Access 6218A Left-Heart Delivery System, Model 6218Medtronic Vascular2002—
+1K031211Attain Prevail Steerable Catheter Set, Model 6228CTHMedtronic Vascular2003—
+1K042194Attain Select 6238TEL Guide Catheter Set for Left-Heart DeliveryMedtronic Vascular2004—
+1K053431Attain Select II 6248DEL Delivery Catheter SystemMedtronic, Ireland2006—
+1K024032Attain 6216A-MP Multi-Purpose Guide Catheter for Left-Heart DeliveryMedtronic Vascular2002—
+1K080428Attain Command 6250 Left Heart Delivery Systems and Attain Command 6250 Guide…Medtronic, Inc.2008—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198520
198610
198730
198810
198910
199050
199110
199230
199310
199430
199530
199710
199910
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200210
200320
200420
200510
200650
200710
200820
200910
201010
201120
201310
201820
201920
202020
202210
202310
202530
202610
FIG. 1 — Lineage of K021589, 1977–2026Source: 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 DQY? 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 DQY device

  1. #1 K234115 APRO 55 Catheterscore 17.5 · 6 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
*K012083Attain Access 6218 Left-Heart Delivery System, Model 6218
Summary page 2
…Access Predicate Device Predicate Device Manufacturer | Predicate 510(k) 6218A Left-heart Delivery System Device 45cmand 50 cm | Medtronic Attain Access Medtronic, Inc. K012083 Guide Catheters 6218 Left-heart Delivery Minneapolis, MN 55432 System Guide Catheter Medtronic Attain Access Medtronic, Inc. K012…
Medtronic Vascular2001—

Also cleared against K012083: 6 other devices →

What descends from it? (31)

See all 31

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

NumberDeviceApplicantDecidedDescendants
K031211Attain Prevail Steerable Catheter Set, Model 6228CTHMedtronic Vascular200329
K042194Attain Select 6238TEL Guide Catheter Set for Left-Heart DeliveryMedtronic Vascular200417
K053431Attain Select II 6248DEL Delivery Catheter SystemMedtronic, Ireland200614
K024032Attain 6216A-MP Multi-Purpose Guide Catheter for Left-Heart DeliveryMedtronic Vascular200214
K080428Attain Command 6250 Left Heart Delivery Systems and Attain Command 6250 Guide Catheters…Medtronic, Inc.200813
K032622Attain Prevail Left Heart Delivery System Moddel, 6228SYSMedtronic Vascular20035
K112917Attain LDS 6216A Left Heart Delivery System, Attain Access 6218A Left Heart Delivery…Medtronic, Inc.20110
K053277CPS Direct SL Outer CatheterSt Jude Medical20060

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Aug 27, 2008Not classifiedZ-2473-2008Process controlMedtronic has identified an issue with the packaging for specific lots of the Medtronic Adjustable Valve and valves contained in the Attain Left Heart Delivery System kits. A small number of valve package seals could be compromised.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 25 years and passes through 3 companies; a new generation was cleared every 4.7 years on median.
  • 5 of the 30 ancestors have a recall of any class.
  • Of its descendants, K031211 (Medtronic Vascular, 2003) has gone furthest, with 29 descendants of its own.
  • 6 other devices also cite its predicate K012083.

How does its category compare?

All DQY devices

DQY Catheter, Percutaneous: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · DQY

21in 2025

2007: 162008: 312009: 372010: 222011: 362012: 302013: 322014: 192015: 272016: 222017: 262018: 252019: 302020: 202021: 182022: 182023: 182024: 162025: 212026 (partial year): 11
2007high 37 (2009) · low 16 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DQY

115in 2025

2007: 85 days median2008: 66 days median2009: 73 days median2010: 74 days median2011: 71 days median2012: 87 days median2013: 92 days median2014: 127 days median2015: 118 days median2016: 117 days median2017: 113 days median2018: 106 days median2019: 111 days median2020: 120 days median2021: 81 days median2022: 74 days median2023: 114 days median2024: 87 days median2025: 115 days median2026 (partial year): 30 days median
2007high 127 (2014) · low 66 (2008)2026

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

Recalls per year · DQY

1in 2025

2007: 62008: 122009: 172010: 322011: 62012: 22013: 36, 1 Class I2014: 32015: 32016: 22, 7 Class I2017: 82018: 22019: 12020: 22021: 22023: 172024: 12025: 1, 1 Class I2026 (partial year): 2, 1 Class I
2007high 36 (2013) · low 0 (2022)2026

Class I (10 since 2007) Class II/III not classified

Adverse event reports per year · DQY

3,056in 2025

2007: 3132008: 4962009: 8192010: 1,2932011: 1,2112012: 1,1912013: 1,3522014: 1,4972015: 2,3372016: 2,2522017: 2,4892018: 2,8552019: 2,9022020: 2,8892021: 3,0062022: 2,6432023: 3,0492024: 3,1902025: 3,056
2007high 3,190 (2024) · low 313 (2007)2025

MAUDE reports naming product code DQY, 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
200716856313
2008316612496
2009377317819
20102274321,293
2011367161,211
2012308721,191
2013329236 (1)1,352
20141912731,497
20152711832,337
20162211722 (7)2,252
20172611382,489
20182510622,855
20193011112,902
20202012022,889
2021188123,006
2022187402,643
202318114173,049
2024168713,190
2025211151 (1)3,056
202611302 (1)—

What is it indicated for?

The Attain™ Access 6218A Left-heart delivery system is intended for introducing balloon catheters into the coronary sinus or leads into vessels of the left heart via the coronary sinus.

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. “K021589: Attain Access 6218A Left-Heart Delivery System, Model 6218.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K021589

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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