510(k) · Cleared
Recalled · Class I · 2014Diamondback 360 Peripheral Orbital Atherectomy System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Cardiovascular Systems Incorporated · MCW Catheter, Peripheral, Atherectomy
Cleared on Nov 22, 2013 as substantially equivalent to K110389 (Cardiovascular Systems, Inc., 2011) and 2 other predicates after a 16-day review. Its family tree reaches back 10 generations to 1987. 1 of the 23 devices in its family, counting itself, has a Class I recall. 4 later devices descend from it. It has been recalled once, including a Class I recall.
- Decided
- Nov 22, 2013
- Review
- 16 days
- Class
- Class II
- Product code
- MCW
- Recalls
- 1 (1 Class I)
- Predicates
- 3
Its longest line of descent runs back 10 generations to K871011 (1987). 18 ancestors in all. 4 later devices descend from it, 3 citing it directly. 1 of the 23 devices in this family, counting this one, has a Class I recall.
- Root · 10 generations backK871011 Simpson Peripheral Atherocath (TM)Devices For Vascular Intervention, Inc. · 1987
- 6 generations between
- 3 generations backK110389 Stealth 360 Orbital Pad SystemCardiovascular Systems, Inc. · 2011 · Recalled
- 2 generations backK122987 Stealth 360 Orbital Pad SystemCardiovascular Systems, Inc. · 2012
- 1 generation backK131092 Stealth 360 Orbital Pad SystemCardio Systems, Inc. · 2013
- This deviceK133399 Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems Incorporated · 2013
- Descendant · cites it directly · 2 of its ownK150732 Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2015
- Descendant · cites it directly · 1 of its ownK151260 ViperWire Advance Guide Wire, Diamondback 360 Peripheral Orbital…Cardiovascular System, Inc. · 2015 · Recalled
- Descendant · 2 generations on · 0 of its ownK180416 ViperWire Advance Guide Wire, Stealth 360 Orbital Peripheral…Cardiovascular Systems, Inc. · 2018
- Descendant · cites it directly · 0 of its ownK133999 Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2014
Show all 10 generations
- Root · 10 generations backK871011 Simpson Peripheral Atherocath (TM)Devices For Vascular Intervention, Inc. · 1987
- 9 generations backK024243 Reform Peripheral Catheter System, Model 02200; Reform Peripheral…Fox Hollow Technologies · 2003 · Recalled
- 8 generations backK043553 Silverhawk Peripheral Plaque Excision System, Models 02550,04800…Fox Hollow Technologies · 2005
- 7 generations backK071350 Diamondback 360 Degree Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2007
- 6 generations backK072748 Modification to: Diamondback 360 Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2007
- 5 generations backK081944 Modification to Diamondback 360 Degree Orbital Atherectomy SystemCardio Systems, Inc. · 2008
- 4 generations backK090521 Diamondback 360 DBXCardiovascular Systems, Inc. · 2009 · Recalled
- 3 generations backK110389 Stealth 360 Orbital Pad SystemCardiovascular Systems, Inc. · 2011 · Recalled
- 2 generations backK122987 Stealth 360 Orbital Pad SystemCardiovascular Systems, Inc. · 2012
- 1 generation backK131092 Stealth 360 Orbital Pad SystemCardio Systems, Inc. · 2013
- This deviceK133399 Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems Incorporated · 2013
Most influential descendants
Showing 4 of 4 · See all- K150732Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2015 · cites it directly2descendants
- K151260ViperWire Advance Guide Wire, Diamondback 360 Peripheral Orbital Atherectomy System…Cardiovascular System, Inc. · 2015 · cites it directly1descendant
- K180416ViperWire Advance Guide Wire, Stealth 360 Orbital Peripheral Atherectomy Device (PAD)…Cardiovascular Systems, Inc. · 2018 · 2 generations on0descendants
- K133999Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2014 · cites it directly0descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −10 | K871011 | Simpson Peripheral Atherocath (TM) | Devices For Vascular Intervention, Inc. | 1987 | — |
| −9 | K024243 | Reform Peripheral Catheter System, Model 02200; Reform Peripheral… | Fox Hollow Technologies | 2003 | 1 |
| −8 | K043553 | Silverhawk Peripheral Plaque Excision System, Models 02550,04800, 05200… | Fox Hollow Technologies | 2005 | — |
| −7 | K071350 | Diamondback 360 Degree Orbital Atherectomy System | Cardiovascular Systems, Inc. | 2007 | — |
| −6 | K072748 | Modification to: Diamondback 360 Orbital Atherectomy System | Cardiovascular Systems, Inc. | 2007 | — |
| −5 | K081944 | Modification to Diamondback 360 Degree Orbital Atherectomy System | Cardio Systems, Inc. | 2008 | — |
| −4 | K090521 | Diamondback 360 DBX | Cardiovascular Systems, Inc. | 2009 | 2 |
| −3 | K110389 | Stealth 360 Orbital Pad System | Cardiovascular Systems, Inc. | 2011 | 1 |
| −2 | K122987 | Stealth 360 Orbital Pad System | Cardiovascular Systems, Inc. | 2012 | — |
| −1 | K131092 | Stealth 360 Orbital Pad System | Cardio Systems, Inc. | 2013 | — |
| 0 (this device) | K133399 | Diamondback 360 Peripheral Orbital Atherectomy System | Cardiovascular Systems Incorporated | 2013 | — |
| +1 | K150732 | Diamondback 360 Peripheral Orbital Atherectomy System | Cardiovascular Systems, Inc. | 2015 | — |
| +1 | K151260 | ViperWire Advance Guide Wire, Diamondback 360 Peripheral Orbital Atherectomy… | Cardiovascular System, Inc. | 2015 | 2 |
| +2 | K180416 | ViperWire Advance Guide Wire, Stealth 360 Orbital Peripheral Atherectomy… | Cardiovascular Systems, Inc. | 2018 | — |
| +1 | K133999 | Diamondback 360 Peripheral Orbital Atherectomy System | Cardiovascular Systems, Inc. | 2014 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1988 | 3 | 0 |
| 1990 | 1 | 0 |
| 1997 | 2 | 0 |
| 2005 | 1 | 0 |
| 2007 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2014 | 1 | 0 |
| 2015 | 2 | 0 |
| 2018 | 1 | 0 |
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.
Top candidate predicates for a new MCW device
- #1 K233668 Auryon Atherectomy Catheter 1.5 mm XL…score 17.6 · 18 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (3)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K110389 | Stealth 360 Orbital Pad SystemSummary page 1…ember 05, 2013 Diamondback 360 Peripheral Orbital Atherectomy System MCW—Catheter, Peripheral, Atherectomy 21 CFR 870.4875—Intraluminal Artery Stripper 510(k) Number: K110389, K122987, & K131092 Manufacturer: Cardiovascular Systems, Inc. Trade Name: Stealth 360°® Orbital PAD System 6.1 Description of D… | 2011 |
| * | K122987 | Stealth 360 Orbital Pad SystemSummary page 1…2013 Diamondback 360 Peripheral Orbital Atherectomy System MCW—Catheter, Peripheral, Atherectomy 21 CFR 870.4875—Intraluminal Artery Stripper 510(k) Number: K110389, K122987, & K131092 Manufacturer: Cardiovascular Systems, Inc. Trade Name: Stealth 360°® Orbital PAD System 6.1 Description of Device Th… | 2012 |
| * | K131092 | Stealth 360 Orbital Pad SystemSummary page 1…ondback 360 Peripheral Orbital Atherectomy System MCW—Catheter, Peripheral, Atherectomy 21 CFR 870.4875—Intraluminal Artery Stripper 510(k) Number: K110389, K122987, & K131092 Manufacturer: Cardiovascular Systems, Inc. Trade Name: Stealth 360°® Orbital PAD System 6.1 Description of Device The Diamondba… | 2013 |
| † | K090521 | Diamondback 360 DBX | 2009 |
What descends from it? (4)
3 later devices cite it directly; ranked here by how many devices descend from each in turn.
Has anything in its family been recalled? (1 Class I)
Recalls of this device
| Date | Class | Recall | Root cause | Reason |
|---|---|---|---|---|
| May 23, 2014 | Class I | Z-2155-2014 | Process control | CSI has initiated a recall on the Diamondback 360 Peripheral Orbital Atherectomy Device because it may contain a saline sheath that may experience cracking, fracture, and release particulate during use. |
No ancestor or descendant has a Class I recall.
What does this lineage say?
- The line of descent spans 26 years and passes through 5 companies; a new generation was cleared every 1.6 years on median.
- 4 of the 18 ancestors have a recall of any class.
- Of its descendants, K150732 (Cardiovascular Systems, Inc., 2015) has gone furthest, with 2 descendants of its own.
- 8 other devices also cite its predicate K110389.
How does its category compare?
All MCW devicesMCW Catheter, Peripheral, Atherectomy: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.
FDA decisions per year · MCW
3in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · MCW
46in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · MCW
2in 2024
Class I (4 since 2007) Class II/III not classified
Adverse event reports per year · MCW
677in 2025
MAUDE reports naming product code MCW, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 5 | 43 | 2 | 50 |
| 2008 | 6 | 33 | 1 | 115 |
| 2009 | 8 | 27 | 3 | 105 |
| 2010 | 6 | 30 | 1 | 167 |
| 2011 | 6 | 39 | 0 | 204 |
| 2012 | 5 | 29 | 0 | 194 |
| 2013 | 5 | 30 | 0 | 134 |
| 2014 | 7 | 117 | 0 | 210 |
| 2015 | 6 | 30 | 0 | 377 |
| 2016 | 5 | 60 | 2 | 409 |
| 2017 | 7 | 91 | 2 | 415 |
| 2018 | 8 | 103 | 0 | 537 |
| 2019 | 3 | 112 | 0 | 618 |
| 2020 | 2 | — | 0 | 631 |
| 2021 | 6 | 119 | 2 (2) | 734 |
| 2022 | 6 | 69 | 2 (2) | 566 |
| 2023 | 4 | 104 | 1 | 574 |
| 2024 | 3 | 41 | 2 | 677 |
| 2025 | 3 | 46 | 0 | 677 |
| 2026 | 1 | — | 0 | — |
What is it indicated for?
The Diamondback 360 Peripheral Orbital Atherectomy System is a percutaneous orbital atherectomy system indicated for use as therapy in patients with occlusive atherosclerotic disease in peripheral arteries and who are acceptable candidates for percutaneous transluminal atherectomy.
The OAS supports removal of stenotic material from artificial arteriovenous dialysis fistulae (AV shunt). The OAS is a percutaneous orbital atherectomy system indicated as a therapy in patients with occluded hemodialysis grafts who are acceptable candidates for percutaneous transluminal angioplasty.
Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.
https://510kreport.com/device/K133399 · printed Nov 4, 2026
Cite this page
510(k) Report. “K133399: Diamondback 360 Peripheral Orbital Atherectomy System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K133399
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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