510(k) Report

510(k) · Cleared

Recalled · Class I · 2019

Advance Enforcer 35 Focal Force Pta Balloon Catheter

K141322510(k) TraditionalCleared Mar 27, 2015311-day reviewClass II21 CFR 870.1250Recalls 3 (3 Class I)

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

Cook Incorporated · PNO Catheter, Percutaneous, Cutting/Scoring

Cleared on Mar 27, 2015 as substantially equivalent to K091527 (Cook, Inc., 2009) and 1 other predicate after a 311-day review. Its family tree reaches back 2 generations to 2009. 1 of the 3 devices in its family, counting itself, has a Class I recall. It has been recalled 3 times, including 3 Class I recalls.

Decided
Mar 27, 2015
Review
311 days
Class
Class II
Product code
PNO
Recalls
3 (3 Class I)
Predicates
2

Its longest line of descent runs back 2 generations to K091527 (2009). No later device cites it as a predicate yet. 1 of the 3 devices in this family, counting this one, has a Class I recall.

  1. Root · 2 generations backK091527 Advance 35LP Low Profile Pta Balloon Dilatation CatheterCook, Inc. · 2009 · Recalled
  2. 1 generation backK132020 Advance 34LP Low Profile Pta Balloon Dilatation CatheterCook, Inc. · 2013
  3. This deviceK141322 Advance Enforcer 35 Focal Force Pta Balloon CatheterCook Incorporated · 2015
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K091527Advance 35LP Low Profile Pta Balloon Dilatation CatheterCook, Inc.20091
−1K132020Advance 34LP Low Profile Pta Balloon Dilatation CatheterCook, Inc.2013—
0 (this device)K141322Advance Enforcer 35 Focal Force Pta Balloon CatheterCook Incorporated2015—
FIG. 1 — Lineage of K141322, 2009–2015Source: 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.

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 PNO device

  1. #1 K261778 JADE SCORE PTA Scoring Balloon Dilatation…score 14.1 · 8 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? (2)

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
*K091527Advance 35LP Low Profile Pta Balloon Dilatation Catheter
Summary page 4
…ect of this submission, is substantially equivalent to the predicate device, the Advance” 351LP Low Profile PTA Balloon Dilatation Catheters cleared under 510(k) numbers K091527 and K132020. Comparison to Predicate Device: It has been demonstrated that the Advance” Enforcer” 35 Focal Force PTA Balloon Ca…
Cook, Inc.20091
*K132020Advance 34LP Low Profile Pta Balloon Dilatation Catheter
Summary page 4
…submission, is substantially equivalent to the predicate device, the Advance” 351LP Low Profile PTA Balloon Dilatation Catheters cleared under 510(k) numbers K091527 and K132020. Comparison to Predicate Device: It has been demonstrated that the Advance” Enforcer” 35 Focal Force PTA Balloon Catheters are…
Cook, Inc.2013—

Also cleared against K091527: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
May 24, 2019Class IZ-1758-2019Under Investigation by firmMultiple complaints were received for balloons bursting below the rated burst pressure. Potential adverse events that may occur if an affected product is used include a delay in the procedure, additional intervention, vessel injury, and…
May 24, 2019Class IZ-1757-2019Under Investigation by firmMultiple complaints were received for balloons bursting below the rated burst pressure. Potential adverse events that may occur if an affected product is used include a delay in the procedure, additional intervention, vessel injury, and…
May 24, 2019Class IZ-1756-2019Under Investigation by firmMultiple complaints were received for balloons bursting below the rated burst pressure. Potential adverse events that may occur if an affected product is used include a delay in the procedure, additional intervention, vessel injury, and…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 6 years and passes through 2 companies; a new generation was cleared every 4.4 years on median.
  • 1 of the 2 ancestors has a recall of any class.
  • 1 other device also cites its predicate K091527.

How does its category compare?

All PNO devices

PNO Catheter, Percutaneous, Cutting/Scoring: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, this device’s year, is highlighted.

FDA decisions per year · PNO

2in 2025

2007: 32008: 42009: 12010: 32011: 22012: 12013: 12014: 12015: 42016: 12017: 32019: 12020: 42021: 12022: 22024: 42025: 22026 (partial year): 3
2007high 4 (2008) · low 0 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PNO

246in 2024

2007: 61 days median2008: 28 days median2010: 23 days median2015: 84 days median2017: 74 days median2020: 94 days median2024: 246 days median2026 (partial year): 110 days median
2007high 246 (2024) · low 23 (2010)2026

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

Recalls per year · PNO

No recall names PNO since 2007.

Adverse event reports per year · PNO

511in 2025

2016: 92017: 262018: 552019: 812020: 1212021: 902022: 752023: 3042024: 5372025: 511
2007high 537 (2024) · low 0 (2007)2025

MAUDE reports naming product code PNO, 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
200736100
200842800
20091—00
201032300
20112—00
20121—00
20131—00
20141—00
201548400
20161—09
2017374026
20180—055
20191—081
20204940121
20211—090
20222—075
20230—0304
202442460537
20252—0511
202631100—

What is it indicated for?

The Advance® Enforcer™ 35 Focal Force PTA Balloon Catheter is intended for percutaneous transluminal angioplasty (PTA) of lesions in peripheral arteries, including iliac, renal, popliteal, infrapopliteal, femoral and iliofemoral, as well as obstructive lesions of native or synthetic arteriovenous dialysis fistulae. Not for use in the cerebral or coronary vasculature.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K141322: Advance Enforcer 35 Focal Force Pta Balloon Catheter.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K141322

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