510(k) Report

510(k) · Cleared

Cleared

Filterwire EZ (2.25 MM - 3.5 MM) Embolic Protection System, Models 20120-190, 20120-300

K051984510(k) TraditionalCleared Apr 10, 2006262-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 Corp · NFA Temporary Coronary Saphenous Vein Bypass Graft For Embolic Protection

Cleared on Apr 10, 2006 as substantially equivalent to K032884 (Boston Scientific Epi, 2004) and 1 other predicate after a 262-day review. Its family tree reaches back 3 generations to 2001. 1 of the 13 devices in its family, counting itself, has a Class I recall. 7 later devices descend from it.

Decided
Apr 10, 2006
Review
262 days
Class
Class II
Product code
NFA
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K003992 (2001). 5 ancestors in all. 7 later devices descend from it, 1 citing it directly. 1 of the 13 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2002: 2 other ancestors2006: 2 descendants cleared2008: 1 descendant cleared2015: 1 descendant cleared2018: 1 descendant cleared2020: 1 descendant cleared2021: 1 descendant cleared, 1 with a Class I recall1Reference device: K023691 · Boston Scientific Filterwire EX Embolic · Boston Scientific Epi · 2003K003992 · Percusurge Guardwire Temporary Occlusion and Aspiration System · Percu Surge, Inc. · 2001K023691 · Boston Scientific Filterwire EX Embolic · Boston Scientific Epi · 2003K032884 · Filter Wire EZ Embolic Protection System and EZ Bent Tip Retrieval Sheath · Boston Scientific Epi · 2004200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor3 generations back: 1 other ancestor 1 generation forward: 1 descendant2 generations forward: 2 descendants3 generations forward: 1 descendant4 generations forward: 1 descendant5 generations forward: 1 descendant6 generations forward: 1 descendant, 1 with a Class I recall1 K032884 · Filter Wire EZ Embolic Protection System and EZ Bent Tip Retrieval Sheath · Boston Scientific Epi · 2004K023691 · Boston Scientific Filterwire EX Embolic · Boston Scientific Epi · 2003K003992 · Percusurge Guardwire Temporary Occlusion and Aspiration System · Percu Surge, Inc. · 20010+5
  1. Root · 3 generations backK003992 Percusurge Guardwire Temporary Occlusion and Aspiration SystemPercu Surge, Inc. · 2001
  2. 2 generations backK023691 Boston Scientific Filterwire EX EmbolicBoston Scientific Epi · 2003
  3. 1 generation backK032884 Filter Wire EZ Embolic Protection System and EZ Bent Tip Retrieval…Boston Scientific Epi · 2004
  4. This deviceK051984 Filterwire EZ (2.25 MM - 3.5 MM) Embolic Protection System, Models…Boston Scientific Corp · 2006
  5. Descendant · cites it directly · 6 of its ownK061332 Filterwire EZ Embolic Protection System (2.25 MM-3.5 MM)Boston Scientific Corp · 2006
  6. Descendant · 2 generations on · 4 of its ownK063313 Filterwire EZ Embolic Protection System (3.5 MM to 5.5 MM)Boston Scientific Corp · 2006 · Recalled
  7. Descendant · 3 generations on · 3 of its ownK143570 WirionGardia Medical · 2015
  8. Descendant · 4 generations on · 2 of its ownK180023 WirionGardia Medical, Ltd. · 2018
  9. Descendant · 5 generations on · 1 of its ownK200198 WirionCardiovascular Systems, Inc. · 2020

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2006: 22008: 12015: 12018: 12020: 12021: 1
2006high 2 (2006) · low 0 (2007)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 7 · See all
  • K061332Filterwire EZ Embolic Protection System (2.25 MM-3.5 MM)Boston Scientific Corp · 2006 · cites it directly6descendants
  • K063313Filterwire EZ Embolic Protection System (3.5 MM to 5.5 MM)Boston Scientific Corp · 2006 · 2 generations on4descendants
  • K143570WirionGardia Medical · 2015 · 3 generations on3descendants
  • K180023WirionGardia Medical, Ltd. · 2018 · 4 generations on2descendants
  • K200198WirionCardiovascular Systems, Inc. · 2020 · 5 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K003992Percusurge Guardwire Temporary Occlusion and Aspiration SystemPercu Surge, Inc.2001—
−2K023691Boston Scientific Filterwire EX EmbolicBoston Scientific Epi2003—
−1K032884Filter Wire EZ Embolic Protection System and EZ Bent Tip Retrieval SheathBoston Scientific Epi2004—
0 (this device)K051984Filterwire EZ (2.25 MM - 3.5 MM) Embolic Protection System, Models 20120-190…Boston Scientific Corp2006—
+1K061332Filterwire EZ Embolic Protection System (2.25 MM-3.5 MM)Boston Scientific Corp2006—
+2K063313Filterwire EZ Embolic Protection System (3.5 MM to 5.5 MM)Boston Scientific Corp20066
+3K143570WirionGardia Medical2015—
+4K180023WirionGardia Medical, Ltd.2018—
+5K200198WirionCardiovascular Systems, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200220

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200620
200810
201510
201810
202010
202111
FIG. 1 — Lineage of K051984, 2001–2021Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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.

  • 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
*K032884Filter Wire EZ Embolic Protection System and EZ Bent Tip Retrieval Sheath
Summary page 1
…Embolic Protection System is substantially equivalent in design and intended use to the Filter Wire EZ (3.5 mm - 5.5 mm) Embolic Protection System legally marketed under K032884 and to the Medtronic®& PercuSurge Guard Wire Plus® Temporary Occlusion and Aspiration System (K013913) indicated in 2.5 -5.0 mm S…
Boston Scientific Epi2004—
*K013913Percusurge Guardwire Plus Temporary Occlusion and Aspiration System
Summary page 1
…(3.5 mm - 5.5 mm) Embolic Protection System legally marketed under K032884 and to the Medtronic®& PercuSurge Guard Wire Plus® Temporary Occlusion and Aspiration System (K013913) indicated in 2.5 -5.0 mm SVG vessel diameters. Device Description: The Boston Scientific FilterWire EZ (2.25 mm - 3.5 mm) Embo…
Medtronic Percusurge, Inc.2002—
†K023691Boston Scientific Filterwire EX EmbolicBoston Scientific Epi2003—

Also cleared against K032884: 6 other devices →

What descends from it? (7)

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

NumberDeviceApplicantDecidedDescendants
K061332Filterwire EZ Embolic Protection System (2.25 MM-3.5 MM)Boston Scientific Corp20066

Has anything in its family been recalled? (1 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.

  • K210282WIRION Embolic Protection SystemCardiovascular Systems, Inc. · 2021 · 6 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 5 years and passes through 3 companies; a new generation was cleared every 1.7 years on median.
  • None of the 5 ancestors has a recall.
  • Of its descendants, K061332 (Boston Scientific Corp, 2006) has gone furthest, with 6 descendants of its own.
  • 6 other devices also cite its predicate K032884.

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 EZ Tm Embolic Protection System is indicated for use as a guide wire and embolic protection system to contain and remove embolic material (thrombus/debris) while performing angioplasty and stenting procedures in coronary saphenous vein bypass grafts. The diameter of the vessel at the site of filter loop placement should be between 2.25 mm and 5.5 mm. · The safety and effectiveness of this device as an embolic protection system has not been…

Read the full statement (127 words)

The FilterWire EZ Tm Embolic Protection System is indicated for use as a guide wire and embolic protection system to contain and remove embolic material (thrombus/debris) while performing angioplasty and stenting procedures in coronary saphenous vein bypass grafts. The diameter of the vessel at the site of filter loop placement should be between 2.25 mm and 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.

* The safety and effectiveness of the device as an embolic protection system has not been established in treating patients with acute myocardial infarction.

* The safety and effectiveness of the device as an embolic protection system has not been established in treating native coronaries.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K051984: Filterwire EZ (2.25 MM - 3.5 MM) Embolic Protection System, Models 20120-190, 20120-300.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K051984

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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