510(k) Report

510(k) · Cleared

Cleared

Fusion Quattro Extraction Balloon XL

K063677510(k) SpecialCleared Jan 5, 200725-day reviewClass II21 CFR 876.5010

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

Wilson-Cook Medical, Inc. · GCA Biliary Catheter For Stone Removal That May Also Allow For Irrigation And Contrast Injection

Cleared on Jan 5, 2007 as substantially equivalent to K040129 (Wilson-Cook Medical, Inc., 2004) after a 25-day review. Its family tree reaches back 2 generations to 1995. 2 later devices descend from it.

Decided
Jan 5, 2007
Review
25 days
Class
Class II
Product code
GCA
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K953951 (1995). 2 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2010: 1 descendant cleared2020: 1 descendant clearedK953951 · Wilson-Cook Triple Lumen Balloon Stone Extractor · Wilson-Cook Medical, Inc. · 1995 · recalledK040129 · Tri-EX Extraction Balloon with Multiple Sizing · Wilson-Cook Medical, Inc. · 20041995200020052010201520202025
  1. Root · 2 generations backK953951 Wilson-Cook Triple Lumen Balloon Stone ExtractorWilson-Cook Medical, Inc. · 1995 · Recalled
  2. 1 generation backK040129 Tri-EX Extraction Balloon with Multiple SizingWilson-Cook Medical, Inc. · 2004
  3. This deviceK063677 Fusion Quattro Extraction Balloon XLWilson-Cook Medical, Inc. · 2007
  4. Descendant · cites it directly · 0 of its ownK200247 Fusion Quattro Extraction BalloonWilson-Cook Medical, Inc. · 2020
  5. Descendant · cites it directly · 0 of its ownK101095 Direct Peroral Cholangioscopy BalloonWilson-Cook Medical, Inc. · 2010 · Recalled

Most influential descendants

Showing 2 of 2 · See all
  • K200247Fusion Quattro Extraction BalloonWilson-Cook Medical, Inc. · 2020 · cites it directly0descendants
  • K101095Direct Peroral Cholangioscopy BalloonWilson-Cook Medical, Inc. · 2010 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K953951Wilson-Cook Triple Lumen Balloon Stone ExtractorWilson-Cook Medical, Inc.19951
−1K040129Tri-EX Extraction Balloon with Multiple SizingWilson-Cook Medical, Inc.2004—
0 (this device)K063677Fusion Quattro Extraction Balloon XLWilson-Cook Medical, Inc.2007—
+1K200247Fusion Quattro Extraction BalloonWilson-Cook Medical, Inc.2020—
+1K101095Direct Peroral Cholangioscopy BalloonWilson-Cook Medical, Inc.20102

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201010
202010
FIG. 1 — Lineage of K063677, 1995–2020Source: 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 GCA? 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 GCA device

  1. #1 K253013 Disposable Stone Retrieval Balloon Catheterscore 12.2 · 4 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
*K040129Tri-EX Extraction Balloon with Multiple Sizing
Summary page 1
…ary, Surgical (21 CFR 876.501 0, Product Code 18 GCA) Legally Marketed Devices: Tri-Ex Extraction Balloon with Multiple Sizing (K040129) Description of the Device: The subject extraction balloon represents modifications ma…
Wilson-Cook Medical, Inc.2004—

Also cleared against K040129: 1 other device →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K200247Fusion Quattro Extraction BalloonWilson-Cook Medical, Inc.20200
K101095Direct Peroral Cholangioscopy BalloonWilson-Cook Medical, Inc.20100

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?

  • The line of descent spans 12 years and passes through 1 company; a new generation was cleared every 8.4 years on median.
  • 1 of the 2 ancestors has a recall of any class.
  • Of its descendants, K200247 (Wilson-Cook Medical, Inc., 2020) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K040129.

How does its category compare?

All GCA devices

GCA Biliary Catheter For Stone Removal That May Also Allow For Irrigation And Contrast Injection: FDA decisions, review times, recalls and adverse event reports over 20 years. 2007, this device’s year, is highlighted.

FDA decisions per year · GCA

1in 2024

2007: 12017: 12018: 22019: 12020: 22021: 12022: 12024: 12026 (partial year): 1
2007high 2 (2018) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GCA

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

Recalls per year · GCA

No recall names GCA since 2007.

Adverse event reports per year · GCA

24in 2025

2007: 62008: 362009: 342010: 122011: 102012: 92013: 102014: 112015: 202016: 142017: 852018: 382019: 382020: 202021: 82022: 182023: 112024: 142025: 24
2007high 85 (2017) · low 6 (2007)2025

MAUDE reports naming product code GCA, 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—06
20080—036
20090—034
20100—012
20110—010
20120—09
20130—010
20140—011
20150—020
20160—014
20171—085
20182—038
20191—038
20202—020
20211—08
20221—018
20230—011
20241—014
20250—024
20261—0—

What is it indicated for?

Used for endoscopic removal of stones in the biliary system and for contrast injection.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K063677: Fusion Quattro Extraction Balloon XL.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K063677

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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