510(k) Report

510(k) · Cleared

Recalled · Class II · 2018

Sheath Adapter, Model SA-09847

K021723510(k) TraditionalCleared Aug 8, 200276-day reviewClass II21 CFR 870.1340Recalls 1

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

Arrow Intl., Inc. · DYB Introducer, Catheter

Cleared on Aug 8, 2002 as substantially equivalent to K780532 (Arrow Intl., Inc., 1978) and 1 other predicate after a 76-day review. Its family tree reaches back 1 generation to 1978. 1 of the 3 devices in its family, counting itself, has a Class I recall. It has been recalled once.

Decided
Aug 8, 2002
Review
76 days
Class
Class II
Product code
DYB
Recalls
1
Predicates
2

Its longest line of descent runs back 1 generation to K780532 (1978). 2 ancestors in all. No later device cites it as a predicate yet. 1 of the 3 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 1990: 1 other ancestorK780532 · Percutaneous Sheath Introducer Kit · Arrow Intl., Inc. · 1978 · Class I recall197519801985199019952000
Other ancestors, by generation 1 generation back: 1 other ancestor K780532 · Percutaneous Sheath Introducer Kit · Arrow Intl., Inc. · 1978 · Class I recall0
  1. Root · 1 generation backK780532 Percutaneous Sheath Introducer KitArrow Intl., Inc. · 1978 · Recalled (Class I)
  2. This deviceK021723 Sheath Adapter, Model SA-09847Arrow Intl., Inc. · 2002

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K780532Percutaneous Sheath Introducer KitArrow Intl., Inc.1978Class I
0 (this device)K021723Sheath Adapter, Model SA-09847Arrow Intl., Inc.2002—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
FIG. 1 — Lineage of K021723, 1978–2002Source: 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.

1 device in this family has 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 DYB device

  1. #1 K251051 AuST Steerable Sheathscore 18.0 · 10 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
*K780532Percutaneous Sheath Introducer Kit
Summary page 1
…Sheath Adapter Device classification name: Catheter Introducer Legally marketed devices to which Arrow Percutaneous Sheath Introducer (K780532) the device is substantially equivalent: Thomas Medical Products Tuohy-Borst Adapter (K904608) Description of the device:…
Arrow Intl., Inc.1978Class I
*K904608Percutaneous Introducer Tray
Summary page 1
…marketed devices to which Arrow Percutaneous Sheath Introducer (K780532) the device is substantially equivalent: Thomas Medical Products Tuohy-Borst Adapter (K904608) Description of the device: The proposed device is an accessory to Arrow’s existing…
Thomas Medical Products, Inc.1990—

Also cleared against K780532: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Apr 11, 2018Class IIZ-2029-2018Under Investigation by firmProduct sterility may be compromised due to unsealed packaging.

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.

  • K780532Percutaneous Sheath Introducer KitArrow Intl., Inc. · 1978 · Direct predicate · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • 1 of the 2 ancestors has a recall of any class; 1 has a Class I recall.
  • 2 other devices also cite its predicate K780532.

How does its category compare?

All DYB devices

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

FDA decisions per year · DYB

16in 2025

2007: 122008: 172009: 142010: 182011: 172012: 222013: 262014: 302015: 172016: 192017: 242018: 192019: 182020: 92021: 122022: 132023: 152024: 182025: 162026 (partial year): 17
2007high 30 (2014) · low 9 (2020)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DYB

63in 2025

2007: 95 days median2008: 37 days median2009: 52 days median2010: 123 days median2011: 100 days median2012: 128 days median2013: 118 days median2014: 122 days median2015: 129 days median2016: 95 days median2017: 70 days median2018: 156 days median2019: 47 days median2020: 49 days median2021: 78 days median2022: 143 days median2023: 55 days median2024: 56 days median2025: 63 days median2026 (partial year): 59 days median
2007high 156 (2018) · low 37 (2008)2026

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

Recalls per year · DYB

3in 2025

2007: 152008: 92009: 252010: 182011: 42012: 32013: 5, 1 Class I2014: 22015: 2, 1 Class I2016: 45, 3 Class I2017: 22, 1 Class I2018: 12019: 22020: 21, 21 Class I2021: 62022: 22023: 102024: 22025: 32026 (partial year): 23, 21 Class I
2007high 45 (2016) · low 1 (2018)2026

Class I (48 since 2007) Class II/III not classified

Adverse event reports per year · DYB

4,539in 2025

2007: 3162008: 4232009: 3992010: 4452011: 6282012: 8982013: 7432014: 7802015: 9132016: 1,2342017: 1,6722018: 1,9032019: 2,4502020: 2,4652021: 2,8352022: 4,0842023: 3,7752024: 3,9312025: 4,539
2007high 4,539 (2025) · low 316 (2007)2025

MAUDE reports naming product code DYB, 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
2007129515316
200817379423
2009145225399
20101812318445
2011171004628
2012221283898
2013261185 (1)743
2014301222780
2015171292 (1)913
2016199545 (3)1,234
2017247022 (1)1,672
20181915611,903
2019184722,450
202094921 (21)2,465
2021127862,835
20221314324,084
20231555103,775
2024185623,931
2025166334,539
2026175923 (21)—

What is it indicated for?

The Arrow Sheath Adapter is utilized in conjunction with one-piece Percutaneous Sheath Introducer to permit venous access and catheter introduction into the central circulation.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K021723: Sheath Adapter, Model SA-09847.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K021723

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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