510(k) Report

510(k) · Cleared

Cleared

Boston Scientific Filterwire EX Embolic

K023691510(k) TraditionalCleared Jun 4, 2003215-day reviewClass II21 CFR 870.1250

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

Boston Scientific Epi · NFA Temporary Coronary Saphenous Vein Bypass Graft For Embolic Protection

Cleared on Jun 4, 2003 as substantially equivalent to K003992 (Percu Surge, Inc., 2001) and 1 other predicate after a 215-day review. Its family tree reaches back 1 generation to 2001. 3 of the 51 devices in its family, counting itself, have a Class I recall. 48 later devices descend from it.

Decided
Jun 4, 2003
Review
215 days
Class
Class II
Product code
NFA
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K003992 (2001). 2 ancestors in all. 48 later devices descend from it, 4 citing it directly. 3 of the 51 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor2006: 9 descendants cleared2004: 2 descendants cleared2008: 5 descendants cleared2005: 4 descendants cleared2012: 4 descendants cleared2015: 3 descendants cleared2011: 4 descendants cleared2007: 3 descendants cleared2018: 3 descendants cleared2023: 2 descendants cleared, 1 with a Class I recall12009: 2 descendants cleared2022: 1 descendant cleared2010: 1 descendant cleared2020: 1 descendant cleared2016: 1 descendant cleared, 1 with a Class I recall12021: 1 descendant cleared, 1 with a Class I recall12013: 1 descendant cleared2017: 1 descendant clearedK003992 · Percusurge Guardwire Temporary Occlusion and Aspiration System · Percu Surge, Inc. · 2001200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 4 descendants2 generations forward: 15 descendants3 generations forward: 10 descendants4 generations forward: 6 descendants5 generations forward: 5 descendants6 generations forward: 3 descendants, 2 with a Class I recall27 generations forward: 3 descendants, 1 with a Class I recall18 generations forward: 1 descendant9 generations forward: 1 descendant K003992 · Percusurge Guardwire Temporary Occlusion and Aspiration System · Percu Surge, Inc. · 20010+5
  1. Root · 1 generation backK003992 Percusurge Guardwire Temporary Occlusion and Aspiration SystemPercu Surge, Inc. · 2001
  2. This deviceK023691 Boston Scientific Filterwire EX EmbolicBoston Scientific Epi · 2003
  3. Descendant · cites it directly · 35 of its ownK032884 Filter Wire EZ Embolic Protection System and EZ Bent Tip Retrieval…Boston Scientific Epi · 2004
  4. Descendant · cites it directly · 27 of its ownK042218 Accunet Embolic Protection System, RX Accunet Embolic Protection…Guidant Corp. · 2004
  5. Descendant · 2 generations on · 18 of its ownK052659 Spiderx Embolic Protection DeviceEv3, Inc. · 2006
  6. Descendant · 2 generations on · 14 of its ownK053195 Spiderx Embolic Protection DeviceEv3, Inc. · 2006
  7. Descendant · 3 generations on · 13 of its ownK062201 Spiderx Embolic Protection DeviceEv3, Inc. · 2006

Showing 5 of 48 descendants. See all descendants

Descendants cleared per year

2004: 22005: 42006: 92007: 32008: 52009: 22010: 12011: 42012: 42013: 12015: 32016: 12017: 12018: 32020: 12021: 12022: 12023: 2
2004high 9 (2006) · low 0 (2014)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 48 · See all
  • K032884Filter Wire EZ Embolic Protection System and EZ Bent Tip Retrieval SheathBoston Scientific Epi · 2004 · cites it directly35descendants
  • K042218Accunet Embolic Protection System, RX Accunet Embolic Protection SystemGuidant Corp. · 2004 · cites it directly27descendants
  • K052659Spiderx Embolic Protection DeviceEv3, Inc. · 2006 · 2 generations on18descendants
  • K053195Spiderx Embolic Protection DeviceEv3, Inc. · 2006 · 2 generations on14descendants
  • K062201Spiderx Embolic Protection DeviceEv3, Inc. · 2006 · 3 generations on13descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K003992Percusurge Guardwire Temporary Occlusion and Aspiration SystemPercu Surge, Inc.2001—
0 (this device)K023691Boston Scientific Filterwire EX EmbolicBoston Scientific Epi2003—
+1K032884Filter Wire EZ Embolic Protection System and EZ Bent Tip Retrieval SheathBoston Scientific Epi2004—
+1K042218Accunet Embolic Protection System, RX Accunet Embolic Protection SystemGuidant Corp.2004—
+2K052659Spiderx Embolic Protection DeviceEv3, Inc.2006—
+2K053195Spiderx Embolic Protection DeviceEv3, Inc.2006—
+3K062201Spiderx Embolic Protection DeviceEv3, Inc.2006—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200420
200540
200690
200730
200850
200920
201010
201140
201240
201310
201530
201611
201710
201830
202010
202111
202210
202321
FIG. 1 — Lineage of K023691, 2001–2023Source: 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.

3 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.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
Get a 510(k) Report

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
*K003992Percusurge Guardwire Temporary Occlusion and Aspiration System
Summary page 1
…MedtronicB AVE PercuSurge Guardwire Plus@ Temporary Occlusion and Aspiration System (K003992, KO14223) Device Description The Boston Scientific Filterwire EXTMEmbolic Protection System is a temporary intra-vascular 0.…
Percu Surge, Inc.2001—
*K014223Modification to Guardwire Plus Temporary Occlusion & Aspiration SystemMedtronic Percusurge, Inc.2002—

Also cleared against K003992: 2 other devices →

What descends from it? (48)

See all 48

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

NumberDeviceApplicantDecidedDescendants
K032884Filter Wire EZ Embolic Protection System and EZ Bent Tip Retrieval SheathBoston Scientific Epi200435
K042218Accunet Embolic Protection System, RX Accunet Embolic Protection SystemGuidant Corp.200427
K060651Proxis System, Model EPS101St Jude Medical20063
K052523Proxis SystemVelocimed, Inc.20062

Has anything in its family been recalled? (3 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 · 6 generations on · ◆ in the 2016 descendants bar of FIG. 11 Class I recall
  • K210282WIRION Embolic Protection SystemCardiovascular Systems, Inc. · 2021 · 6 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall
  • K230402ENROUTE® Transcarotid Neuroprotection SystemSilk Road Medical · 2023 · 7 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, K032884 (Boston Scientific Epi, 2004) has gone furthest, with 35 descendants of its own.
  • 2 other devices also cite its predicate K003992.

How does its category compare?

All NFA devices

NFA Temporary Coronary Saphenous Vein Bypass Graft For Embolic Protection: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · NFA

2in 2008

2007: 12008: 2
2007high 2 (2008) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NFA

Too few NFA 510(k)s in any year since 2007 to give a median.

Recalls per year · NFA

No recall names NFA since 2007.

Adverse event reports per year · NFA

91in 2025

2007: 1102008: 802009: 1042010: 1832011: 452012: 552013: 482014: 422015: 412016: 632017: 502018: 782019: 402020: 202021: 252022: 232023: 222024: 552025: 91
2007high 183 (2010) · low 20 (2020)2025

MAUDE reports naming product code NFA, 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
20071—0110
20082—080
20090—0104
20100—0183
20110—045
20120—055
20130—048
20140—042
20150—041
20160—063
20170—050
20180—078
20190—040
20200—020
20210—025
20220—023
20230—022
20240—055
20250—091
20260—0—

What is it indicated for?

The Filterwire EX Embolic Protection System is indicated for use as a guidewire and embolic protection system to contain and remove embolic material (thrombus/ debris) while performing percutaneous transluminal coronary angioplasty or stenting procedures in coronary saphenous vein bypass grafts with reference vessel diameters of 3.5 to 5.5 mm. The safety and effectiveness of this device as an embolic protection system has not been established in the cerebral, carotid or peripheral vasculature.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K023691: Boston Scientific Filterwire EX Embolic.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K023691

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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