510(k) Report

510(k) · Cleared

Cleared

Gore Flow Reversal System Model GFRS073

K123156510(k) SpecialCleared Dec 13, 201265-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

W. L. Gore & Associates, Inc. · NTE Temporary Carotid Catheter For Embolic Capture

Cleared on Dec 13, 2012 as substantially equivalent to K083300 (W. L. Gore & Associates, Inc., 2009) after a 65-day review. Its family tree reaches back 6 generations to 2001.

Decided
Dec 13, 2012
Review
65 days
Class
Class II
Product code
NTE
Recalls
None
Predicates
1

Its longest line of descent runs back 6 generations to K003992 (2001). 28 ancestors in all, the oldest K990487 (1999). No later device cites it as a predicate yet.

  1. Root · 6 generations backK003992 Percusurge Guardwire Temporary Occlusion and Aspiration SystemPercu Surge, Inc. · 2001
  2. 5 generations backK023691 Boston Scientific Filterwire EX EmbolicBoston Scientific Epi · 2003
  3. 4 generations backK042218 Accunet Embolic Protection System, RX Accunet Embolic Protection…Guidant Corp. · 2004
  4. 3 generations backK052166 Modification to: RX Accunet Embolic Protection SystemGuidant Corporation · 2005
  5. 2 generations backK072990 Guardwire Temporary Occlusion and Aspiration System- CarotidMedtronic, Inc. · 2007
  6. 1 generation backK083300 Gore Flow Reversal SystemW. L. Gore & Associates, Inc. · 2009
  7. This deviceK123156 Gore Flow Reversal System Model GFRS073W. L. Gore & Associates, Inc. · 2012
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K003992Percusurge Guardwire Temporary Occlusion and Aspiration SystemPercu Surge, Inc.2001—
−5K023691Boston Scientific Filterwire EX EmbolicBoston Scientific Epi2003—
−4K042218Accunet Embolic Protection System, RX Accunet Embolic Protection SystemGuidant Corp.2004—
−3K052166Modification to: RX Accunet Embolic Protection SystemGuidant Corporation2005—
−2K072990Guardwire Temporary Occlusion and Aspiration System- CarotidMedtronic, Inc.2007—
−1K083300Gore Flow Reversal SystemW. L. Gore & Associates, Inc.2009—
0 (this device)K123156Gore Flow Reversal System Model GFRS073W. L. Gore & Associates, Inc.2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199920
200150
200250
200330
200430
200510
200620
200710
FIG. 1 — Lineage of K123156, 2001–2012Source: 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 NTE? 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 NTE device

  1. #1 K222694 EmPro EPS (EP4514C-190…score 6.4 · 5 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
*K083300Gore Flow Reversal System
Summary page 2
…ce. 8. Conclusion The rmodified GORE® Flow Reversal System is substantially equivalent to the predicate GORE® Flow Reversal System (K083300) in terms of design, material composition, intended use and performance attributes. RRGORE and Design are Trad…
W. L. Gore & Associates, Inc.2009—

Also cleared against K083300: 2 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 11 years and passes through 6 companies; a new generation was cleared every 2.0 years on median.
  • 4 of the 28 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K083300.

How does its category compare?

All NTE devices

NTE Temporary Carotid Catheter For Embolic Capture: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · NTE

2in 2023

2007: 12008: 32009: 32010: 12011: 42012: 32014: 12015: 32016: 12018: 12019: 12020: 12021: 12022: 12023: 2
2007high 4 (2011) · low 0 (2013)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NTE

105in 2015

2008: 95 days median2009: 86 days median2011: 105 days median2012: 30 days median2015: 105 days median
2007high 105 (2011) · low 30 (2012)2026

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

Recalls per year · NTE

3in 2023

2008: 62011: 12021: 1, 1 Class I2023: 32026 (partial year): 2, 2 Class I
2007high 6 (2008) · low 0 (2007)2026

Class I (3 since 2007) Class II/III not classified

Adverse event reports per year · NTE

405in 2025

2007: 1192008: 3682009: 3432010: 2942011: 3042012: 2612013: 2582014: 1992015: 1482016: 1482017: 1412018: 1582019: 2332020: 2382021: 3272022: 3262023: 3542024: 3982025: 405
2007high 405 (2025) · low 119 (2007)2025

MAUDE reports naming product code NTE, 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—0119
20083956368
20093860343
20101—0294
201141051304
20123300261
20130—0258
20141—0199
201531050148
20161—0148
20170—0141
20181—0158
20191—0233
20201—0238
20211—1 (1)327
20221—0326
20232—3354
20240—0398
20250—0405
20260—2 (2)—

What is it indicated for?

The GORE® Flow Reversal System is intended to provide embolic protection during carotid artery angioplasty and stenting for the patients diagnosed with carotid artery stenosis and who have the appropriate anatomy described below:

* Adequate iliac/femoral access

* Common carotid artery diameters between 6 and 12 mm

* External carotid artery diameters less than 6 mm

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K123156: Gore Flow Reversal System Model GFRS073.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K123156

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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