510(k) Report

510(k) · Cleared

Recalled · Class I · 2026

CG+ Arrow Picc Powered by Arrow VPS Stylet

K130876510(k) SpecialCleared Apr 26, 201328-day reviewClass II21 CFR 880.5970Recalls 4 (1 Class I)

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

Arrow International, Inc. · LJS Catheter, Intravascular, Therapeutic, Long-Term Greater Than 30 Days

Cleared on Apr 26, 2013 as substantially equivalent to K123759 (Arrow International, Inc. (Subsidiary of Teleflex, 2013) after a 28-day review. Its family tree reaches back 11 generations to 2000. 5 of the 61 devices in its family, counting itself, have a Class I recall. 2 later devices descend from it. It has been recalled 4 times, including a Class I recall.

Decided
Apr 26, 2013
Review
28 days
Class
Class II
Product code
LJS
Recalls
4 (1 Class I)
Predicates
1

Its longest line of descent runs back 11 generations to K001901 (2000). 58 ancestors in all, the oldest K823434 (1982). 2 later devices descend from it, 1 citing it directly. 5 of the 61 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2012: 1 other ancestor, 1 with a Class I recall12010: 1 other ancestor2009: 1 other ancestor2008: 3 other ancestors2006: 3 other ancestors2004: 3 other ancestors2003: 2 other ancestors1984: 1 other ancestor2005: 6 other ancestors2002: 2 other ancestors1997: 1 other ancestor1992: 2 other ancestors2000: 3 other ancestors, 1 with a Class I recall11996: 3 other ancestors1995: 2 other ancestors1994: 3 other ancestors1993: 1 other ancestor1991: 2 other ancestors1986: 2 other ancestors, 1 with a Class I recall11982: 1 other ancestor2001: 2 other ancestors1999: 1 other ancestor1983: 1 other ancestor2014: 1 descendant cleared2016: 1 descendant cleared, 1 with a Class I recall1K001901 · Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath Midline Catheter, Model 3134135 · C.R. Bard, Inc. · 2000 · recalledK012902 · Poly Per-Q-Cath Single Lumen Picc Catheter, Model 3143100; Poly Per-Q-Cath Dual Lumen Picc Catheter, Model 3246100 · C.R. Bard, Inc. · 2001K031129 · Poly Per-Q-Cath Picc Catheters; Poly Radpicc · C.R. Bard, Inc. · 2003K034019 · Poly Per-Q-Cath Picc Catheters · C.R. Bard, Inc. · 2004 · recalledK060341 · Sherlock Tip Location System (TLS) · C.R. Bard, Inc. · 2006K063240 · Sherlock TLS Stylet, Sherlock TLS Detector · C.R. Bard, Inc. · 2006 · recalledK081625 · Flowpicc Stylet · Vasonova, Inc. · 2008K091324 · Sherlock 3CG Tip Positioning System, Sherlock 3CG Tip Positioning System Stylet · C.R. Bard, Inc. · 2009 · recalledK093775 · Evguide Tip Location System · Romedex International Srl · 2010K103255 · Vascular Positioning System TM (VPS TM System) Stylet · Vasonova, Inc. · 2011 · recalledK123759 · CG+ Arrow Picc Powered by Arrow VPS Stylet · Arrow International, Inc. (Subsidiary of Teleflex · 201319801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor, 1 with a Class I recall13 generations back: 2 other ancestors4 generations back: 5 other ancestors5 generations back: 9 other ancestors6 generations back: 20 other ancestors7 generations back: 9 other ancestors, 1 with a Class I recall18 generations back: 1 other ancestor, 1 with a Class I recall1 1 generation forward: 1 descendant2 generations forward: 1 descendant, 1 with a Class I recall1 K123759 · CG+ Arrow Picc Powered by Arrow VPS Stylet · Arrow International, Inc. (Subsidiary of Teleflex · 2013K103255 · Vascular Positioning System TM (VPS TM System) Stylet · Vasonova, Inc. · 2011 · recalledK093775 · Evguide Tip Location System · Romedex International Srl · 2010K091324 · Sherlock 3CG Tip Positioning System, Sherlock 3CG Tip Positioning System Stylet · C.R. Bard, Inc. · 2009 · recalledK081625 · Flowpicc Stylet · Vasonova, Inc. · 2008K063240 · Sherlock TLS Stylet, Sherlock TLS Detector · C.R. Bard, Inc. · 2006 · recalledK060341 · Sherlock Tip Location System (TLS) · C.R. Bard, Inc. · 2006K034019 · Poly Per-Q-Cath Picc Catheters · C.R. Bard, Inc. · 2004 · recalledK031129 · Poly Per-Q-Cath Picc Catheters; Poly Radpicc · C.R. Bard, Inc. · 2003K012902 · Poly Per-Q-Cath Single Lumen Picc Catheter, Model 3143100; Poly Per-Q-Cath Dual Lumen Picc Catheter, Model 3246100 · C.R. Bard, Inc. · 2001K001901 · Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath Midline Catheter, Model 3134135 · C.R. Bard, Inc. · 2000 · recalled−10−50
  1. Root · 11 generations backK001901 Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath…C.R. Bard, Inc. · 2000 · Recalled
  2. 7 generations between
  3. 3 generations backK093775 Evguide Tip Location SystemRomedex International Srl · 2010
  4. 2 generations backK103255 Vascular Positioning System TM (VPS TM System) StyletVasonova, Inc. · 2011 · Recalled
  5. 1 generation backK123759 CG+ Arrow Picc Powered by Arrow VPS StyletArrow International, Inc. (Subsidiary of Teleflex · 2013
  6. This deviceK130876 CG+ Arrow Picc Powered by Arrow VPS StyletArrow International, Inc. · 2013
  7. Descendant · cites it directly · 1 of its ownK141618 Arrow VPS Stylet Plus and CG+ Arrow Picc Powered by Arrow VPS Stylet…Arrow International, Inc (Subsidiary of Teleflex I · 2014
  8. Descendant · 2 generations on · 0 of its ownK153487 CG+ Arrow PICC powered by Arrow VPS Stylet PLUS and Arrow VPS Stylet…Arrow International, Inc. (Subsidiary of Teleflex, Inc.) · 2016 · Recalled (Class I)
Show all 11 generations
  1. Root · 11 generations backK001901 Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath…C.R. Bard, Inc. · 2000 · Recalled
  2. 10 generations backK012902 Poly Per-Q-Cath Single Lumen Picc Catheter, Model 3143100; Poly…C.R. Bard, Inc. · 2001
  3. 9 generations backK031129 Poly Per-Q-Cath Picc Catheters; Poly RadpiccC.R. Bard, Inc. · 2003
  4. 8 generations backK034019 Poly Per-Q-Cath Picc CathetersC.R. Bard, Inc. · 2004 · Recalled
  5. 7 generations backK060341 Sherlock Tip Location System (TLS)C.R. Bard, Inc. · 2006
  6. 6 generations backK063240 Sherlock TLS Stylet, Sherlock TLS DetectorC.R. Bard, Inc. · 2006 · Recalled
  7. 5 generations backK081625 Flowpicc StyletVasonova, Inc. · 2008
  8. 4 generations backK091324 Sherlock 3CG Tip Positioning System, Sherlock 3CG Tip Positioning…C.R. Bard, Inc. · 2009 · Recalled
  9. 3 generations backK093775 Evguide Tip Location SystemRomedex International Srl · 2010
  10. 2 generations backK103255 Vascular Positioning System TM (VPS TM System) StyletVasonova, Inc. · 2011 · Recalled
  11. 1 generation backK123759 CG+ Arrow Picc Powered by Arrow VPS StyletArrow International, Inc. (Subsidiary of Teleflex · 2013
  12. This deviceK130876 CG+ Arrow Picc Powered by Arrow VPS StyletArrow International, Inc. · 2013

Class I recalls in this family

Most influential descendants

Showing 2 of 2 · See all
  • K141618Arrow VPS Stylet Plus and CG+ Arrow Picc Powered by Arrow VPS Stylet PlusArrow International, Inc (Subsidiary of Teleflex I · 2014 · cites it directly1descendant
  • K153487CG+ Arrow PICC powered by Arrow VPS Stylet PLUS and Arrow VPS Stylet PLUSArrow International, Inc. (Subsidiary of Teleflex, Inc.) · 2016 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K001901Poly Per-Q-Cath Picc Catheter,Model 3236100 and Poly Per-Q-Cath Midline…C.R. Bard, Inc.20002
−10K012902Poly Per-Q-Cath Single Lumen Picc Catheter, Model 3143100; Poly Per-Q-Cath…C.R. Bard, Inc.2001—
−9K031129Poly Per-Q-Cath Picc Catheters; Poly RadpiccC.R. Bard, Inc.2003—
−8K034019Poly Per-Q-Cath Picc CathetersC.R. Bard, Inc.20041
−7K060341Sherlock Tip Location System (TLS)C.R. Bard, Inc.2006—
−6K063240Sherlock TLS Stylet, Sherlock TLS DetectorC.R. Bard, Inc.200618
−5K081625Flowpicc StyletVasonova, Inc.2008—
−4K091324Sherlock 3CG Tip Positioning System, Sherlock 3CG Tip Positioning System StyletC.R. Bard, Inc.200911
−3K093775Evguide Tip Location SystemRomedex International Srl2010—
−2K103255Vascular Positioning System TM (VPS TM System) StyletVasonova, Inc.20114
−1K123759CG+ Arrow Picc Powered by Arrow VPS StyletArrow International, Inc. (Subsidiary of Teleflex2013—
0 (this device)K130876CG+ Arrow Picc Powered by Arrow VPS StyletArrow International, Inc.2013—
+1K141618Arrow VPS Stylet Plus and CG+ Arrow Picc Powered by Arrow VPS Stylet PlusArrow International, Inc (Subsidiary of Teleflex I2014—
+2K153487CG+ Arrow PICC powered by Arrow VPS Stylet PLUS and Arrow VPS Stylet PLUSArrow International, Inc. (Subsidiary of Teleflex, Inc.)2016Class I

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198210
198310
198410
198621
199120
199220
199310
199430
199520
199630
199710
199910
200031
200120
200220
200320
200430
200560
200630
200830
200910
201010
201211

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201611
FIG. 1 — Lineage of K130876, 2000–2016Source: 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.

5 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 LJS device

  1. #1 K241910 Neonav ECG Tip Location Systemscore 18.0 · 12 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
*K123759CG+ Arrow Picc Powered by Arrow VPS Stylet
Summary page 1
…ter (P1CC) Classification Name, Catheter: Percutaneous, implanted, long-term intravascular catheter per 21 CFR: 880.5970 Predicate Devices *K 123759: CG+ Arrow P1CC powered by Arrow VPS Stylet Device Description The CG± Arrow PICC powered by Arrow VPS Stylet has the following…
Arrow International, Inc. (Subsidiary of Teleflex2013—

Also cleared against K123759: 1 other device →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K141618Arrow VPS Stylet Plus and CG+ Arrow Picc Powered by Arrow VPS Stylet PlusArrow International, Inc (Subsidiary of Teleflex I20141

Has anything in its family been recalled? (5 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Apr 21, 2026Class IZ-2378-2026Nonconforming Material/ComponentLidocaine, Bupivacaine, and 0.9% sodium chloride, the subject of a supplier recall, were included into kits and sets. The supplier was found to have quality issues and limited reports of drug ineffectiveness, and if sterility of a…
Apr 23, 2019Class IIZ-1809-2019Process controlLidstock states the incorrect expiration date for the product
Apr 11, 2018Class IIZ-2025-2018Under Investigation by firmProduct sterility may be compromised due to unsealed packaging.
Jul 30, 2015Class IIZ-2489-2015Under Investigation by firmsaline leakage from unsecured connections between the Touhy Borst adaptor and the hub of the catheter. No injuries reported.

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.

  • K112896Arrw EvolutionArrow International (Subsidiary of Teleflex Inc.) · 2012 · 2 generations back · ◆ in the 2012 ancestors bar of FIG. 11 Class I recall
  • K993691Arrowg +Ard Blue Plus Antimicrobial Multi-Lumen Central Venous CatheterArrow Intl., Inc. · 2000 · 7 generations back · ◆ in the 2000 ancestors bar of FIG. 11 Class I recall
  • K862056[Central Venous][Multi-Lumen] Catheter W/Flex TipArrow Intl., Inc. · 1986 · 8 generations back · ◆ in the 1986 ancestors bar of FIG. 11 Class I recall
  • K153487CG+ Arrow PICC powered by Arrow VPS Stylet PLUS and Arrow VPS Stylet PLUSArrow International, Inc. (Subsidiary of Teleflex, Inc.) · 2016 · 2 generations on · ◆ in the 2016 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 13 years and passes through 5 companies; a new generation was cleared every 11 months on median.
  • 20 of the 58 ancestors have a recall of any class; 3 have a Class I recall.
  • Of its descendants, K141618 (Arrow International, Inc (Subsidiary of Teleflex I, 2014) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K123759.

How does its category compare?

All LJS devices

LJS Catheter, Intravascular, Therapeutic, Long-Term Greater Than 30 Days: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.

FDA decisions per year · LJS

8in 2025

2007: 142008: 42009: 162010: 92011: 62012: 142013: 142014: 82015: 72016: 92017: 72018: 102020: 22021: 32022: 32023: 42024: 12025: 82026 (partial year): 2
2007high 16 (2009) · low 0 (2019)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LJS

171in 2025

2007: 92 days median2008: 97 days median2009: 70 days median2010: 114 days median2011: 55 days median2012: 77 days median2013: 31 days median2014: 47 days median2015: 71 days median2016: 128 days median2017: 101 days median2018: 148 days median2021: 284 days median2022: 177 days median2023: 47 days median2025: 171 days median
2007high 284 (2021) · low 31 (2013)2026

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

Recalls per year · LJS

5in 2023

2008: 12009: 12010: 122011: 42012: 402014: 152015: 22016: 182017: 92018: 32021: 12023: 5, 2 Class I2026 (partial year): 8, 1 Class I
2007high 40 (2012) · low 0 (2007)2026

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

Adverse event reports per year · LJS

4,372in 2025

2007: 3922008: 3692009: 3792010: 4952011: 6962012: 5642013: 6802014: 8422015: 1,3062016: 1,1232017: 2,1002018: 2,3242019: 2,0522020: 2,5392021: 3,0842022: 3,2562023: 2,7992024: 4,2432025: 4,372
2007high 4,372 (2025) · low 369 (2008)2025

MAUDE reports naming product code LJS, 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
200714920392
20084971369
200916701379
2010911412495
20116554696
2012147740564
201314310680
201484715842
201577121,306
20169128181,123
2017710192,100
20181014832,324
20190—02,052
20202—02,539
2021328413,084
2022317703,256
20234475 (2)2,799
20241—04,243
2025817104,372
20262—8 (1)—

What is it indicated for?

The Pressure Injectable P1CC with Chloag4-ard Antimicrobial and Antithrombogenic Technology is indicated for shoam-term or long-term peripheral access to the central venous system for intravenous therapy, blood sampling. infusion, pressure injection OfContras media and allows for central venous pressure, monitoring;The maximum Pressure of pressuire injection equipment used with the pressure injectable PICC cathecter mnay not exced 30Oiti.- Chionrard…

Read the full statement (351 words)

The Pressure Injectable P1CC with Chloag4-ard Antimicrobial and Antithrombogenic Technology is indicated for shoam-term or long-term peripheral access to the central venous system for intravenous therapy, blood sampling. infusion, pressure injection OfContras media and allows for central venous pressure, monitoring;The maximum Pressure of pressuire injection equipment used with the pressure injectable PICC cathecter mnay not exced 30Oiti.-

Chionrard Technology trmentC On the extl surface! Of the catheter body as well as the entire fluid pathway of thtecatheter has been shtown to be effecive in reducing microbial colonization and thrombus accumulation on catheter sturfaces. Antimicrobial and antithroibogiciic effectiveness were evaluated using in tiroand in v/io test methods and no correlation between these lest methods and clinical outcome has currently been ascented. It is not intended to be used for the treatment of existing; infections or vein thrombosis.

The VI'S Stylet and Console arc indicated for guidance and tip positioning for central venous catheters. The Stylet provides stiffness for use in placement of the cathetear, intravascular capability for ECG detection and recording and intraviactlar ultrasound for catheter guiding and positioning. The VPS Stylet, whten used wvith the VI'S Console, provides real-timei catheter tip location information by using the patient's physiological (cardiac electrical activity and blood flow) information. When the VPS System guidance indicator shows a Blue Bullseye, the catheter tip is inthe desired location.

The VPS System is indicated for use as an alternative method to fluoroscopy or chest x-ray for central venious cathete tip placement confirmtation in adult patients when a steady" Blue Bullseye isobtained. NOTE: If a steady Blue Bullseye is not obtained. standard hospital practice should be followed to conifirm catheter tip location.

Limiting hut not cointraindicated situations for this technique are in patients where alterations of cardiac rttythm change the presentation of the P-wave asin atrial fibrillation. atrial fautter. severe tachycardia and pacennaker-driven rhythm. and in central venous catheteration procedures performed through femnoral or saphenous vein access which change the presentation of the P-wave. In such patients. who are easily identifiable prior to central venous catheter insertion, the use of an additional method is required toconifirm catheter tip location.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K130876: CG+ Arrow Picc Powered by Arrow VPS Stylet.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K130876

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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