510(k) Report

510(k) · Cleared

Recalled · Class II · 2016

PaxWire Occlusion Balloon System

K143613510(k) TraditionalCleared Aug 14, 2015238-day reviewClass II21 CFR 870.4450Recalls 1

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

Accessclosure, Inc. · MJN Catheter, Intravascular Occluding, Temporary

Cleared on Aug 14, 2015 as substantially equivalent to K132990 (Boston Scientific Corp, 2013) and 1 other predicate after a 238-day review. Its family tree reaches back 2 generations to 2006. It has been recalled once.

Decided
Aug 14, 2015
Review
238 days
Class
Class II
Product code
MJN
Recalls
1
Predicates
2

Its longest line of descent runs back 2 generations to K062202 (2006). 3 ancestors in all, the oldest K930622 (1993). No later device cites it as a predicate yet.

Other ancestors, by year cleared 1993: 1 other ancestorK062202 · Occlusion Balloon · Boston Scientific Corp · 2006K132990 · Occlusion Balloon Catheter · Boston Scientific Corp · 2013199019952000200520102015
Other ancestors, by generation 1 generation back: 1 other ancestor K132990 · Occlusion Balloon Catheter · Boston Scientific Corp · 2013K062202 · Occlusion Balloon · Boston Scientific Corp · 20060
  1. Root · 2 generations backK062202 Occlusion BalloonBoston Scientific Corp · 2006
  2. 1 generation backK132990 Occlusion Balloon CatheterBoston Scientific Corp · 2013
  3. This deviceK143613 PaxWire Occlusion Balloon SystemAccessclosure, Inc. · 2015
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K062202Occlusion BalloonBoston Scientific Corp2006—
−1K132990Occlusion Balloon CatheterBoston Scientific Corp2013—
0 (this device)K143613PaxWire Occlusion Balloon SystemAccessclosure, Inc.2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310
FIG. 1 — Lineage of K143613, 2006–2015Source: 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 MJN? 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 MJN device

  1. #1 K243795 pREBOA-PRO Catheterscore 12.1 · 8 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? (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
*K132990Occlusion Balloon Catheter
Summary page 5
…Page 1 of 4 Predicate Device: Primary: Berenstein Occlusion Balloon Catheter (“Berenstein Catheter”) Boston Scientific Corp. K132990 Secondary: Amplatz Super Stiff Guidewire (“Amplatz Guidewire”) Meadox Medicals, a Division of Boston Scientific Corp. K930622 D…
Boston Scientific Corp2013—
*K930622Amplatz Guidewires
Summary page 5
…enstein Catheter”) Boston Scientific Corp. K132990 Secondary: Amplatz Super Stiff Guidewire (“Amplatz Guidewire”) Meadox Medicals, a Division of Boston Scientific Corp. K930622 Device Description: The PaxWire™ Occlusion Balloon System (PaxWire System) is designed for use in the iliofemoral artery to pro…
Meadox Medicals, Div. Boston Scientific Corp.1993—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Oct 6, 2016Class IIZ-0297-2017Device DesignAccessClosure, Inc. (ACI) is voluntarily recalling the PAXWIRE Occlusion Balloon System device because it was made aware from customers that the device may be removed in the absence of vascular sheath across the arteriotomy. This is a…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 9 years and passes through 2 companies; a new generation was cleared every 7.0 years on median.
  • None of the 3 ancestors has a recall.

How does its category compare?

All MJN devices

MJN Catheter, Intravascular Occluding, Temporary: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, this device’s year, is highlighted.

FDA decisions per year · MJN

2in 2025

2007: 22008: 32009: 52010: 52011: 42012: 22013: 42014: 22015: 42016: 32017: 32018: 32019: 32020: 42021: 42022: 22023: 12025: 2
2007high 5 (2009) · low 0 (2024)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MJN

116in 2021

2008: 153 days median2009: 39 days median2010: 30 days median2011: 69 days median2013: 87 days median2015: 245 days median2016: 110 days median2017: 54 days median2018: 63 days median2019: 117 days median2020: 64 days median2021: 116 days median
2007high 245 (2015) · low 30 (2010)2026

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

Recalls per year · MJN

1in 2020

2008: 22010: 12011: 12013: 82015: 12016: 22018: 12020: 1
2007high 8 (2013) · low 0 (2007)2026

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

Adverse event reports per year · MJN

194in 2025

2007: 252008: 262009: 252010: 352011: 922012: 532013: 762014: 1002015: 902016: 712017: 1572018: 1072019: 1392020: 1572021: 1582022: 1482023: 1812024: 2242025: 194
2007high 224 (2024) · low 25 (2007)2025

MAUDE reports naming product code MJN, 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
20072—025
20083153226
2009539025
2010530135
2011469192
20122—053
2013487876
20142—0100
20154245190
20163110271
20173540157
20183631107
201931170139
20204641157
202141160158
20222—0148
20231—0181
20240—0224
20252—0194
20260—0—

What is it indicated for?

The PaxWire Occlusion Balloon System is indicated for temporary flow occlusion in the iliofemoral artery.

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. “K143613: PaxWire Occlusion Balloon System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K143613

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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