510(k) Report

510(k) · Cleared

Cleared

Modification to Contour Polaris Ureteral Stent

K030503510(k) SpecialCleared Mar 17, 200326-day reviewClass II21 CFR 876.4620

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

Boston Scientific Corp · FAD Stent, Ureteral

Cleared on Mar 17, 2003 as substantially equivalent to K010002 (Boston Scientific Corp, 2001) after a 26-day review. Its family tree reaches back 1 generation to 2001. 1 later device descends from it.

Decided
Mar 17, 2003
Review
26 days
Class
Class II
Product code
FAD
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K010002 (2001). 1 later device descends from it, 1 citing it directly.

Descendants, by year cleared 2022: 1 descendant clearedK010002 · Contour Polaris Ureteral Stent · Boston Scientific Corp · 2001 · recalled200020052010201520202025
Descendants, by generation 1 generation forward: 1 descendant K010002 · Contour Polaris Ureteral Stent · Boston Scientific Corp · 2001 · recalled0
  1. Root · 1 generation backK010002 Contour Polaris Ureteral StentBoston Scientific Corp · 2001 · Recalled
  2. This deviceK030503 Modification to Contour Polaris Ureteral StentBoston Scientific Corp · 2003
  3. Descendant · cites it directly · 0 of its ownK212868 JFil Ureteral Stents, JFil Ureteral Stents ECO KITRocamed Sam · 2022

Most influential descendants

Showing 1 of 1 · See all
  • K212868JFil Ureteral Stents, JFil Ureteral Stents ECO KITRocamed Sam · 2022 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K010002Contour Polaris Ureteral StentBoston Scientific Corp20011
0 (this device)K030503Modification to Contour Polaris Ureteral StentBoston Scientific Corp2003—
+1K212868JFil Ureteral Stents, JFil Ureteral Stents ECO KITRocamed Sam2022—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
FIG. 1 — Lineage of K030503, 2001–2022Source: 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 FAD? 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 FAD device

  1. #1 K251890 Disposable Ureteral Stentsscore 12.4 · 6 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? (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
*K010002Contour Polaris Ureteral StentBoston Scientific Corp20011

Also cleared against K010002: 1 other device →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K212868JFil Ureteral Stents, JFil Ureteral Stents ECO KITRocamed Sam20220

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

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has a recall.
  • Of its descendants, K212868 (Rocamed Sam, 2022) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K010002.

How does its category compare?

All FAD devices

FAD Stent, Ureteral: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · FAD

4in 2025

2007: 12008: 12010: 12014: 12016: 42017: 82018: 92019: 52020: 12021: 22022: 52024: 12025: 42026 (partial year): 1
2007high 9 (2018) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FAD

186in 2025

2016: 143 days median2017: 266 days median2018: 258 days median2019: 263 days median2022: 143 days median2025: 186 days median
2007high 266 (2017) · low 143 (2016)2026

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

Recalls per year · FAD

4in 2025

2007: 12008: 222009: 22010: 12016: 42019: 62020: 22021: 12022: 92025: 4
2007high 22 (2008) · low 0 (2011)2026

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

Adverse event reports per year · FAD

634in 2025

2007: 432008: 762009: 1232010: 782011: 952012: 1312013: 822014: 782015: 1302016: 1822017: 2652018: 2772019: 2612020: 3522021: 5312022: 5592023: 6912024: 6032025: 634
2007high 691 (2023) · low 43 (2007)2025

MAUDE reports naming product code FAD, 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—143
20081—2276
20090—2123
20101—178
20110—095
20120—0131
20130—082
20141—078
20150—0130
201641434182
201782660265
201892580277
201952636261
20201—2352
20212—1531
202251439559
20230—0691
20241—0603
202541864634
20261—0—

What is it indicated for?

The Loop Tail Ureteral Stent is intended to facilitate drainage from the kidney to the bladder.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K030503: Modification to Contour Polaris Ureteral Stent.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K030503

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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