510(k) Report

510(k) · Cleared

Cleared

Occluder Occlusion Balloon Catheter

K133750510(k) TraditionalCleared Jan 8, 201430-day reviewClass II21 CFR 876.5130

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

Boston Scientific Corporation · EYB Catheter, Ureteral, Gastro-Urology

Cleared on Jan 8, 2014 as substantially equivalent to K841941 (Van-Tec, Inc., 1984) after a 30-day review. Its family tree reaches back 1 generation to 1984. 1 later device descends from it.

Decided
Jan 8, 2014
Review
30 days
Class
Class II
Product code
EYB
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K841941 (1984). 1 later device descends from it, 1 citing it directly.

Descendants, by year cleared 2019: 1 descendant clearedK841941 · Van-Tec Occlusion Balloon Catheter · Van-Tec, Inc. · 198419801990200020102020
Descendants, by generation 1 generation forward: 1 descendant K841941 · Van-Tec Occlusion Balloon Catheter · Van-Tec, Inc. · 19840
  1. Root · 1 generation backK841941 Van-Tec Occlusion Balloon CatheterVan-Tec, Inc. · 1984
  2. This deviceK133750 Occluder Occlusion Balloon CatheterBoston Scientific Corporation · 2014
  3. Descendant · cites it directly · 0 of its ownK183323 UPJ Occlusion Balloon CatheterCook Incorporated · 2019

Most influential descendants

Showing 1 of 1 · See all
  • K183323UPJ Occlusion Balloon CatheterCook Incorporated · 2019 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K841941Van-Tec Occlusion Balloon CatheterVan-Tec, Inc.1984—
0 (this device)K133750Occluder Occlusion Balloon CatheterBoston Scientific Corporation2014—
+1K183323UPJ Occlusion Balloon CatheterCook Incorporated2019—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
FIG. 1 — Lineage of K133750, 1984–2019Source: 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 EYB? 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 EYB device

  1. #1 K192183 RocaTub Ureteral Catheterscore -0.2 · 3 generations · no Class I recall
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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
*K841941Van-Tec Occlusion Balloon Catheter
Summary page 1
…ogical Classification Name: KOD - Catheter, Urological Prernarket Notification: Van-Tec Occlusion Balloon Catheter (Submitted by Van- Tec, Inc.), K841941 /A, August 8, 1984. E. Device IDescription OcelUder Occlusion Balloon Catheters are designed for use for temporary O…
Van-Tec, Inc.1984—

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K183323UPJ Occlusion Balloon CatheterCook Incorporated20190

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?

  • Its one ancestor has no recall.
  • Of its descendants, K183323 (Cook Incorporated, 2019) has gone furthest, with 0 descendants of its own.

How does its category compare?

All EYB devices

EYB Catheter, Ureteral, Gastro-Urology: FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, this device’s year, is highlighted.

FDA decisions per year · EYB

1in 2020

2009: 12010: 12014: 12017: 12018: 22019: 32020: 1
2007high 3 (2019) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · EYB

248in 2019

2019: 248 days median
2007high 248 (2019)2026

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

Recalls per year · EYB

2so far in 2026, the most since 2007

2008: 12022: 12026 (partial year): 2
2007high 2 (2026) · low 0 (2007)2026

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

Adverse event reports per year · EYB

11in 2025

2007: 142008: 152009: 422010: 132011: 112012: 102013: 142014: 92015: 92016: 42017: 102018: 82019: 222020: 132021: 112022: 52023: 232024: 122025: 11
2007high 42 (2009) · low 4 (2016)2025

MAUDE reports naming product code EYB, 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—014
20080—115
20091—042
20101—013
20110—011
20120—010
20130—014
20141—09
20150—09
20160—04
20171—010
20182—08
20193248022
20201—013
20210—011
20220—15
20230—023
20240—012
20250—011
20260—2—

What is it indicated for?

The Occluder Occlusion Balloon Catheters are indicated for use for temporary Ureteral occlusion and applications including, renal opacification, dislodgment of calculi and preventative calculi migration.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K133750: Occluder Occlusion Balloon Catheter.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K133750

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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