510(k) Report

510(k) · Cleared

Cleared

Cook Incorporated Polyvinyl Alcohol Foam Embolization Particles

K081768510(k) TraditionalCleared Dec 23, 2008186-day reviewClass II21 CFR 870.3300

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

Cook Incorporated · NAJ Agents, Embolic, For Treatment Of Uterine Fibroids

Cleared on Dec 23, 2008 as substantially equivalent to K030966 (Boston Scientific Corp, 2003) and 2 other predicates after a 186-day review. Its family tree reaches back 6 generations to 1996.

Decided
Dec 23, 2008
Review
186 days
Class
Class II
Product code
NAJ
Recalls
None
Predicates
3

Its longest line of descent runs back 6 generations to K961923 (1996). 12 ancestors in all, the oldest K871047 (1987). No later device cites it as a predicate yet.

  1. Root · 6 generations backK961923 Berenstein CoilTarget Therapeutics · 1996
  2. 5 generations backK964112 Berenstein CoilTarget Therapeutics · 1997
  3. 4 generations backK991549 Embosphere MicrospheresBiosphere Medical · 2000
  4. 3 generations backK021397 Embosphere Microspheres and Embogold Microspheres for Use in Uterine…Biosphere Medical, Inc. · 2002
  5. 2 generations backK030966 Contour Emboli Pva and Fastracker-325 Infusion CatheterBoston Scientific Corp · 2003 · Recalled
  6. 1 generation backK034068 Contour SE MicrospheresBoston Scientific Corp · 2004
  7. This deviceK081768 Cook Incorporated Polyvinyl Alcohol Foam Embolization ParticlesCook Incorporated · 2008
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K961923Berenstein CoilTarget Therapeutics1996—
−5K964112Berenstein CoilTarget Therapeutics1997—
−4K991549Embosphere MicrospheresBiosphere Medical2000—
−3K021397Embosphere Microspheres and Embogold Microspheres for Use in Uterine Fibroid…Biosphere Medical, Inc.2002—
−2K030966Contour Emboli Pva and Fastracker-325 Infusion CatheterBoston Scientific Corp20031
−1K034068Contour SE MicrospheresBoston Scientific Corp2004—
0 (this device)K081768Cook Incorporated Polyvinyl Alcohol Foam Embolization ParticlesCook Incorporated2008—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
199410
200110
200210
200320
FIG. 1 — Lineage of K081768, 1996–2008Source: 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.

Planning a device in NAJ? 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 NAJ device

  1. #1 K233813 Bearing nsPVA Express™score 8.3 · 7 generations · no Class I recall
Get a 510(k) Report

What was it cleared against? (4)

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
*K030966Contour Emboli Pva and Fastracker-325 Infusion Catheter
Summary page 2
…orated's Polyvinyl Alcohol Foam Embolization Particles are also substantially equivalent in terms of materials and use to the Contour TM Emboli PVA cleared for market in K030966, ContourTM SE Microspheres cleared for market in K034068, and in terms of use to the Embosphere Microspheres, cleared for market…
Boston Scientific Corp20031
*K034068Contour SE Microspheres
Summary page 2
…e also substantially equivalent in terms of materials and use to the Contour TM Emboli PVA cleared for market in K030966, ContourTM SE Microspheres cleared for market in K034068, and in terms of use to the Embosphere Microspheres, cleared for market in K021397. 4. Device Description: Cook Incorporated P…
Boston Scientific Corp2004—
*K021397Embosphere Microspheres and Embogold Microspheres for Use in Uterine Fibroid Embolization
Summary page 2
…oli PVA cleared for market in K030966, ContourTM SE Microspheres cleared for market in K034068, and in terms of use to the Embosphere Microspheres, cleared for market in K021397. 4. Device Description: Cook Incorporated Polyvinyl Alcohol Foam Embolization Particles are small, flexible, particles made of…
Biosphere Medical, Inc.2002—
*—Cook Incorporated Polyvinyl Alcohol Foam Embolization Particles marketed prior to 1976
Named without a submission number
—

Also cleared against K030966: 5 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 5 companies; a new generation was cleared every 2.6 years on median.
  • 1 of the 12 ancestors has a recall of any class.
  • 5 other devices also cite its predicate K030966.

How does its category compare?

All NAJ devices

NAJ Agents, Embolic, For Treatment Of Uterine Fibroids: FDA decisions, review times, recalls and adverse event reports over 20 years. 2008, this device’s year, is highlighted.

FDA decisions per year · NAJ

1in 2023

2008: 12010: 12013: 12014: 12018: 12023: 1
2007high 1 (2008) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NAJ

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

Recalls per year · NAJ

1in 2009

2009: 1
2007high 1 (2009) · low 0 (2007)2026

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

Adverse event reports per year · NAJ

3in 2025

2007: 462008: 232009: 112010: 242011: 162012: 212013: 92014: 152015: 162016: 142017: 112018: 72019: 42020: 12021: 42022: 202023: 32024: 12025: 3
2007high 46 (2007) · low 1 (2020)2025

MAUDE reports naming product code NAJ, 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
20070—046
20081—023
20090—111
20101—024
20110—016
20120—021
20131—09
20141—015
20150—016
20160—014
20170—011
20181—07
20190—04
20200—01
20210—04
20220—020
20231—03
20240—01
20250—03
20260—0—

What is it indicated for?

The Cook Polyvinyl Alcohol Foam Embolization Particles are intended for embolization

of the blood supply to symptomatic uterine fibroids.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K081768: Cook Incorporated Polyvinyl Alcohol Foam Embolization Particles.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K081768

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