510(k) Report

510(k) · Cleared

Cleared

Silverhawk Peripheral Plaque Excision System, Models 02550,04800, 05200, 02406, 04706, 04300

K043553510(k) SpecialCleared Feb 18, 200553-day reviewClass II21 CFR 870.4875

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

Fox Hollow Technologies · MCW Catheter, Peripheral, Atherectomy

Cleared on Feb 18, 2005 as substantially equivalent to K024243 (Fox Hollow Technologies, 2003) after a 53-day review. Its family tree reaches back 2 generations to 1987. 6 of the 85 devices in its family, counting itself, have a Class I recall. 79 later devices descend from it.

Decided
Feb 18, 2005
Review
53 days
Class
Class II
Product code
MCW
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K871011 (1987). 5 ancestors in all. 79 later devices descend from it, 4 citing it directly. 6 of the 85 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 1988: 3 other ancestors2008: 5 descendants cleared2006: 3 descendants cleared2014: 6 descendants cleared2007: 3 descendants cleared2009: 8 descendants cleared2011: 7 descendants cleared2013: 3 descendants cleared, 1 with a Class I recall12010: 4 descendants cleared2012: 3 descendants cleared2015: 5 descendants cleared2017: 4 descendants cleared2019: 2 descendants cleared2023: 1 descendant cleared2018: 6 descendants cleared, 1 with a Class I recall12016: 5 descendants cleared, 1 with a Class I recall12021: 7 descendants cleared, 2 with a Class I recall22024: 2 descendants cleared2020: 1 descendant cleared2022: 2 descendants cleared2025: 2 descendants cleared, 1 with a Class I recall1Reference device: K871011 · Simpson Peripheral Atherocath (TM) · Devices For Vascular Intervention, Inc. · 1987Reference device: K874706 · Modified Simpson Peripheral Atherocath · Devices For Vascular Intervention, Inc. · 1988Reference device: K881088 · Addition of a Tip Guard to the Atherocath (TM) · Devices For Vascular Intervention, Inc. · 1988Reference device: K883346 · Simpson Peripheral Atherocath W/Addit. Size 13F · Devices For Vascular Intervention, Inc. · 1988K871011 · Simpson Peripheral Atherocath (TM) · Devices For Vascular Intervention, Inc. · 1987K024243 · Reform Peripheral Catheter System, Model 02200; Reform Peripheral Cathetercatheter, Model 02406 · Fox Hollow Technologies · 2003 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 3 other ancestors 1 generation forward: 4 descendants2 generations forward: 24 descendants3 generations forward: 23 descendants, 1 with a Class I recall14 generations forward: 15 descendants, 2 with a Class I recall25 generations forward: 9 descendants, 2 with a Class I recall26 generations forward: 3 descendants, 1 with a Class I recall17 generations forward: 1 descendant K024243 · Reform Peripheral Catheter System, Model 02200; Reform Peripheral Cathetercatheter, Model 02406 · Fox Hollow Technologies · 2003 · recalledK871011 · Simpson Peripheral Atherocath (TM) · Devices For Vascular Intervention, Inc. · 19870+5
  1. Root · 2 generations backK871011 Simpson Peripheral Atherocath (TM)Devices For Vascular Intervention, Inc. · 1987
  2. 1 generation backK024243 Reform Peripheral Catheter System, Model 02200; Reform Peripheral…Fox Hollow Technologies · 2003 · Recalled
  3. This deviceK043553 Silverhawk Peripheral Plaque Excision System, Models 02550,04800…Fox Hollow Technologies · 2005
  4. Descendant · cites it directly · 52 of its ownK053460 Modification to Silverhawk Peripheral Plaque Excision System, Models…Fox Hollow Technologies · 2006
  5. Descendant · 2 generations on · 50 of its ownK061188 Silverhawk Peripheral Plaque Excision SystemFoxhollow Technologies, Inc. · 2006 · Recalled
  6. Descendant · 2 generations on · 37 of its ownK061063 Modification to: Silverhawk Peripheral Plaque Excision System…Foxhollow Technologies, Inc. · 2006
  7. Descendant · cites it directly · 34 of its ownK081328 Pathway PV Atherectomy SystemPathway Medical Technologies, Inc. · 2008
  8. Descendant · 2 generations on · 33 of its ownK082186 Modification to Pathway PV Atherectomy SystemPathway Medical Technologies, Inc. · 2008

Showing 5 of 79 descendants. See all descendants

Descendants cleared per year

2006: 32007: 32008: 52009: 82010: 42011: 72012: 32013: 32014: 62015: 52016: 52017: 42018: 62019: 22020: 12021: 72022: 22023: 12024: 22025: 2
2006high 8 (2009) · low 0 (2026)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 79 · See all
  • K053460Modification to Silverhawk Peripheral Plaque Excision System, Models 02550, 04800…Fox Hollow Technologies · 2006 · cites it directly52descendants
  • K061188Silverhawk Peripheral Plaque Excision SystemFoxhollow Technologies, Inc. · 2006 · 2 generations on50descendants
  • K061063Modification to: Silverhawk Peripheral Plaque Excision System, Models P4028/FG08300Foxhollow Technologies, Inc. · 2006 · 2 generations on37descendants
  • K081328Pathway PV Atherectomy SystemPathway Medical Technologies, Inc. · 2008 · cites it directly34descendants
  • K082186Modification to Pathway PV Atherectomy SystemPathway Medical Technologies, Inc. · 2008 · 2 generations on33descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K871011Simpson Peripheral Atherocath (TM)Devices For Vascular Intervention, Inc.1987—
−1K024243Reform Peripheral Catheter System, Model 02200; Reform Peripheral…Fox Hollow Technologies20031
0 (this device)K043553Silverhawk Peripheral Plaque Excision System, Models 02550,04800, 05200…Fox Hollow Technologies2005—
+1K053460Modification to Silverhawk Peripheral Plaque Excision System, Models 02550…Fox Hollow Technologies2006—
+2K061188Silverhawk Peripheral Plaque Excision SystemFoxhollow Technologies, Inc.20061
+2K061063Modification to: Silverhawk Peripheral Plaque Excision System, Models…Foxhollow Technologies, Inc.2006—
+1K081328Pathway PV Atherectomy SystemPathway Medical Technologies, Inc.2008—
+2K082186Modification to Pathway PV Atherectomy SystemPathway Medical Technologies, Inc.2008—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198830

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200630
200730
200850
200980
201040
201170
201230
201331
201460
201550
201651
201740
201861
201920
202010
202172
202220
202310
202420
202521
FIG. 1 — Lineage of K043553, 1987–2025Source: 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.

6 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 MCW device

  1. #1 K233668 Auryon Atherectomy Catheter 1.5 mm XL…score 17.6 · 18 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
*K024243Reform Peripheral Catheter System, Model 02200; Reform Peripheral Cathetercatheter…
Summary page 1
…r, Peripheral, Atherectomy ProprietaryName: SilverHawk Peripheral Plaque Excision System Predicate Device The ReFORM Peripheral Catheter System (K024243), currently marketed by FoxHollow Technologies, Inc. (Redwood City, CA). Summary This summary of Special 5 10(k) safety and effec…
Fox Hollow Technologies20031
†K871011Simpson Peripheral Atherocath (TM)Devices For Vascular Intervention, Inc.1987—
†K874706Modified Simpson Peripheral AtherocathDevices For Vascular Intervention, Inc.1988—
†K881088Addition of a Tip Guard to the Atherocath (TM)Devices For Vascular Intervention, Inc.1988—
†K883346Simpson Peripheral Atherocath W/Addit. Size 13FDevices For Vascular Intervention, Inc.1988—

Also cleared against K024243: 3 other devices →

What descends from it? (79)

See all 79

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

NumberDeviceApplicantDecidedDescendants
K053460Modification to Silverhawk Peripheral Plaque Excision System, Models 02550, 04800…Fox Hollow Technologies200652
K081328Pathway PV Atherectomy SystemPathway Medical Technologies, Inc.200834
K071350Diamondback 360 Degree Orbital Atherectomy SystemCardiovascular Systems, Inc.200728
K132682Phoenix 5F Tracking Atherectomy Catheter, Phoenix 6F Tracking Atherectomy Catheter…Atheromed, Inc.20146

Has anything in its family been recalled? (6 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.

  • K133399Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems Incorporated · 2013 · 3 generations on · ◆ in the 2013 descendants bar of FIG. 11 Class I recall
  • K172315Straub Endovascular SystemStraub Medical AG · 2018 · 4 generations on · ◆ in the 2018 descendants bar of FIG. 11 Class I recall
  • K212027TurboHawk Plus Directional Atherectomy SystemMedtronic, Inc. · 2021 · 4 generations on · ◆ in the 2021 descendants bar of FIG. 12 Class I recalls
  • K161361HawkOne Directional Atherectomy SystemMedtronic Vascular, Inc. · 2016 · 5 generations on · ◆ in the 2016 descendants bar of FIG. 12 Class I recalls
  • K211738Rotarex Atherectomy SystemC.R. Bard, Inc. · 2021 · 5 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall
  • K242757Rotarex Atherectomy SystemBard Peripheral Vascular, Inc. · 2025 · 6 generations on · ◆ in the 2025 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 18 years and passes through 2 companies; a new generation was cleared every 16.1 years on median.
  • 1 of the 5 ancestors has a recall of any class.
  • Of its descendants, K053460 (Fox Hollow Technologies, 2006) has gone furthest, with 52 descendants of its own.
  • 3 other devices also cite its predicate K024243.

How does its category compare?

All MCW devices

MCW Catheter, Peripheral, Atherectomy: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MCW

3in 2025

2007: 52008: 62009: 82010: 62011: 62012: 52013: 52014: 72015: 62016: 52017: 72018: 82019: 32020: 22021: 62022: 62023: 42024: 32025: 32026 (partial year): 1
2007high 8 (2009) · low 2 (2020)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MCW

46in 2025

2007: 43 days median2008: 33 days median2009: 27 days median2010: 30 days median2011: 39 days median2012: 29 days median2013: 30 days median2014: 117 days median2015: 30 days median2016: 60 days median2017: 91 days median2018: 103 days median2019: 112 days median2021: 119 days median2022: 69 days median2023: 104 days median2024: 41 days median2025: 46 days median
2007high 119 (2021) · low 27 (2009)2026

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

Recalls per year · MCW

2in 2024

2007: 22008: 12009: 32010: 12016: 22017: 22021: 2, 2 Class I2022: 2, 2 Class I2023: 12024: 2
2007high 3 (2009) · low 0 (2011)2026

Class I (4 since 2007) Class II/III not classified

Adverse event reports per year · MCW

677in 2025

2007: 502008: 1152009: 1052010: 1672011: 2042012: 1942013: 1342014: 2102015: 3772016: 4092017: 4152018: 5372019: 6182020: 6312021: 7342022: 5662023: 5742024: 6772025: 677
2007high 734 (2021) · low 50 (2007)2025

MAUDE reports naming product code MCW, 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
2007543250
20086331115
20098273105
20106301167
20116390204
20125290194
20135300134
201471170210
20156300377
20165602409
20177912415
201881030537
201931120618
20202—0631
202161192 (2)734
20226692 (2)566
202341041574
20243412677
20253460677
20261—0—

What is it indicated for?

The SilverHawk Peripheral Plaque Excision System is intended for use in atherectomy of the peripheral vasculature. The catheter is not intended for use in the coronary or carotid vasculature. The intended use of the SilverHawk Peripheral Plaque Excision System is identical to the approved indication for the ReForm Peripheral Catheter System which was found to be substantially equivalent to the Simpson Peripheral Atherocath (K871011, K874706, K881088 and…

Read the full statement (102 words)

The SilverHawk Peripheral Plaque Excision System is intended for use in atherectomy of the peripheral vasculature. The catheter is not intended for use in the coronary or carotid vasculature.

The intended use of the SilverHawk Peripheral Plaque Excision System is identical to the approved indication for the ReForm Peripheral Catheter System which was found to be substantially equivalent to the Simpson Peripheral Atherocath (K871011, K874706, K881088 and K883346). Both the SilverHawk Peripheral Plaque Excision System and the ReForm Peripheral Catheter System are designed for atherectomy of the peripheral vasculature and neither device is intended for use in the coronary or carotid vasculature.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K043553: Silverhawk Peripheral Plaque Excision System, Models 02550,04800, 05200, 02406, 04706, 04300.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K043553

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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